Provider Demographics
NPI:1114146966
Name:FERGUSON, SHERI S (LCSW, LMFT)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:S
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:LCSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 ALFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-3127
Mailing Address - Country:US
Mailing Address - Phone:205-824-8320
Mailing Address - Fax:
Practice Address - Street 1:1313 ALFORD AVE
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35226-3127
Practice Address - Country:US
Practice Address - Phone:205-824-8320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1882-C1041C0700X
ALL270106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical