Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jayme Dee Fergoda, PHD, LICSW

Individual provider Clinical Social Worker · NPI 1083882112

Jayme Dee Fergoda, PHD, LICSW is a Clinical Social Worker in Bellingham, Washington. Qualified in 1994, 32 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
32
Licensed in
WA
In the registry since
2008
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1313 E Maple St Ste 224
Bellingham, WA 98225
Phone: (360) 685-4224
Fax: (360) 685-4222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW00005651 (WA)

Record details

NPI number1083882112
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LICSW
Sole proprietorYes
NPI enumeratedFebruary 12, 2008
Last updated in NPPESAugust 28, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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