Provider Demographics
NPI:1396201497
Name:FERGUSON, WHITNEY YVONNE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:WHITNEY
Middle Name:YVONNE
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7428 S LEWIS AVE APT 5F
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-6857
Mailing Address - Country:US
Mailing Address - Phone:918-927-2936
Mailing Address - Fax:918-442-2036
Practice Address - Street 1:12020 E 31ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-2001
Practice Address - Country:US
Practice Address - Phone:918-710-4433
Practice Address - Fax:918-599-7716
Is Sole Proprietor?:No
Enumeration Date:2019-02-13
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6657-P1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical