Provider Demographics
NPI:1982590188
Name:FERGUSON, EMILY ANNE (SWAIC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANNE
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:SWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 CORNWALL AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4733
Mailing Address - Country:US
Mailing Address - Phone:612-940-9637
Mailing Address - Fax:
Practice Address - Street 1:1319 CORNWALL AVE STE 200
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4733
Practice Address - Country:US
Practice Address - Phone:612-940-9637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASWIA.SC.700059281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical