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

MS. Shavanda Ferguson, LCSW

Individual provider Clinical Social Worker · NPI 1053102764

MS. Shavanda Ferguson, LCSW is a Clinical Social Worker in Hollywood, Florida. Qualified in 2008, 18 years ago. Practices with Senior Living Memory Health Inc, a 111-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
18
Licensed in
FL
In the registry since
2025
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

4000 Hollywood Blvd Ste 715
Hollywood, FL 33021-6755
Phone: (833) 769-3524
Fax: (954) 251-0451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8501 Windsor Dr, Miramar, FL 33025-2844 — (786) 877-6407

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW12827 (FL)

Record details

NPI number1053102764
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 13, 2025
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Senior Living Memory Health Inc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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