MR. LEE ROBERT FERGUSON (LICSW) – Clinical Social Worker, NPI 1336402643

MR. LEE ROBERT FERGUSON (LICSW) is a healthcare provider. based in Richland, Washington. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. LW60533326 (WA). The NPI Number for MR. LEE ROBERT FERGUSON (LICSW) is 1336402643

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. LEE ROBERT FERGUSON (LICSW)
NPI
1336402643
Phone
(509) 438-7139
Address
660 GEORGE WASHINGTON WAY
Enumeration Date
21 June 2012
Last Update Date
5 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094387139
Graduation Year
2011 (15 years ago)
PAC ID
5799086575
Professional Enrollment ID
I20151221001700
Address ID
WA993524246RI660XXWAYX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,396 CLINICAL SOCIAL WORKER in WA

Provider Addresses for MR. LEE ROBERT FERGUSON (LICSW)

  • 660 GEORGE WASHINGTON WAY

    SUITE D

    RICHLAND, WA 993524246

    Phone: (509) 438-7139

    Type: Location

  • 660 GEORGE WASHINGTON WAY STE D

    RICHLAND, WA 993524246

    Phone: (509) 438-7139

    Fax: (509) 713-7015

    Type: Location

  • PO BOX 5582

    PASCO, WA 993025501

    Phone: (509) 438-7139

    Type: Mailing

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: 2015-12-21

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
I20151221001700IClinical Social WorkerWATBD

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 99352)

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Reviews

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Frequently asked questions

What federal number belongs to MR. LEE ROBERT FERGUSON (LICSW)?
The federal identifier for MR. LEE ROBERT FERGUSON (LICSW) is NPI 1336402643.
Is MR. LEE ROBERT FERGUSON (LICSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MR. LEE ROBERT FERGUSON (LICSW)'s specialty in plain language?
Clinically, the directory lists MR. LEE ROBERT FERGUSON (LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. LEE ROBERT FERGUSON (LICSW)?
The page summarizes Richland, Washington for MR. LEE ROBERT FERGUSON (LICSW); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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