Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Wayne Ferguson Jr., LCSW, LISAC

Individual provider Clinical Social Worker · NPI 1255781902

Michael Wayne Ferguson Jr., LCSW, LISAC is a Clinical Social Worker in Phoenix, Arizona. Qualified in 2016, 10 years ago. Practices with Recovia LLC, a 28-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2016
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

19636 N 27th Ave Ste 106
Phoenix, AZ 85027-4014
Phone: (480) 372-3286
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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 LCSW-19807 (AZ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LISAC-155236 (AZ)

Record details

NPI number1255781902
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LISAC
Sole proprietorNo
NPI enumeratedJune 14, 2016
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Recovia Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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