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JOHN DWIGHT FERGUSON LICSW
NPI 1588744304
Social Worker - Clinical in Spring Lake Park, MN

Active since October 16, 2006PECOS Enrolled
1340 81ST AVE NE, SPRING LAKE PARK, MN 55432(763) 783-4528(763) 786-9729 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John Dwight Ferguson Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN DWIGHT FERGUSON LICSW (NPI 1588744304) is an individual clinical provider in Spring Lake Park, Minnesota, licensed in Minnesota (10199) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588744304
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOHN DWIGHT FERGUSONCredential: LICSW
Location Address1340 81ST AVE NESpring Lake Park, MN 55432-2116
Mailing Address5648 Newton Ave SMinneapolis, MN 55419-1531 · (612) 922-2993
Phone(763) 783-4528
Fax(763) 786-9729
Sole ProprietorYes
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1588744304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 10199
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1340 81ST AVE NE, Spring Lake Park, MN 55432
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Dwight Ferguson Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show John Ferguson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

John Ferguson Licsw LLC
Same address
Clinical
1340 81ST AVE NE
Spring Lake Park, MN 55432
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1467696872 (763) 783-4528

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55432 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUEST CARE CO
Home Health
1340 81ST AVE NE
SPRING LAKE PARK, MN 55432
Anoka County (612) 242-7419
JOHN FERGUSON LICSW LLC
Social Worker (Clinical)
1340 81ST AVE NE
SPRING LAKE PARK, MN 55432
Anoka County (763) 783-4528

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Ferguson's NPI number?

The NPI number for John Ferguson is 1588744304. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is John Ferguson located?

John Ferguson practices at 1340 81st Ave NE, Spring Lake Park, MN 55432. The listed phone number is (763) 783-4528.

What is John Ferguson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is John Ferguson enrolled in Medicare?

Yes. John Ferguson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Ferguson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Ferguson reassigns Medicare benefits to John Ferguson Licsw LLC (Spring Lake Park, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Ferguson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Ferguson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.