KATHRYN JILL FERGUSON (LCSW) – Clinical Social Worker, NPI 1437763216

KATHRYN JILL FERGUSON (LCSW) is a healthcare provider. based in Chesapeake, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 0904011999 (VA). The NPI Number for KATHRYN JILL FERGUSON (LCSW) is 1437763216

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN JILL FERGUSON (LCSW)
NPI
1437763216
Phone
(757) 477-7452
Address
705 LAS OLAS CT
Enumeration Date
31 August 2020
Last Update Date
31 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7574594640
Graduation Year
2003 (23 years ago)
PAC ID
2062959323
Group Practice PAC ID
2365356169
Professional Enrollment ID
I20240805000494
Address ID
VA234624345VI260XXRDXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

Provider Addresses for KATHRYN JILL FERGUSON (LCSW)

  • 705 LAS OLAS CT

    CHESAPEAKE, VA 233226905

    Phone: (757) 477-7452

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240805000494IClinical Social WorkerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23322)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365356169View full group profile
NameSpecialtyState
Clinical Social WorkerVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

Is KATHRYN JILL FERGUSON (LCSW) listed with a National Provider Identifier?
Yes — KATHRYN JILL FERGUSON (LCSW) has NPI 1437763216 on file in the registry.
Is there an active status for KATHRYN JILL FERGUSON (LCSW)?
For scheduling context, KATHRYN JILL FERGUSON (LCSW) is shown as active in the registry.
How would a patient describe KATHRYN JILL FERGUSON (LCSW)'s focus?
For KATHRYN JILL FERGUSON (LCSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with KATHRYN JILL FERGUSON (LCSW)?
Directory geography for KATHRYN JILL FERGUSON (LCSW) centers on Chesapeake, Virginia.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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