Kaileah Christie-Fogg, LCSW
Social Worker in Groton, Connecticut
1972849289- Practice location
- 481 Gold Star Hwy, 301, Groton, CT 06340-6702
- Phone
- 860-287-6393
- Fax
- —
- Last updated
- August 16, 2016
Kaileah Christie-Fogg is a Social Worker based in Groton, CT. Kaileah Christie-Fogg practices in Groton, CT and has the professional credentials of LCSW. The NPI Number for Kaileah Christie-Fogg is 1972849289 and holds a License No. 8828 (CT). The current practice location address for Kaileah Christie-Fogg is 481 Gold Star Hwy, 301, Groton, CT 06340-6702 and can be reached out via phone at 860-287-6393.
Provider Profile Details
- NPI Number
- 1972849289
- Provider Name
- Kaileah Christie-Fogg
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 481 Gold Star Hwy, 301, Groton, CT 06340-6702
- Phone Number
- 860-287-6393
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- No
- Other Names
- -- Kaileah Christie (Former Name)
- Provider Enumeration Date
- December 14, 2012
- Last Update Date
- August 16, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 481 Gold Star Hwy
301
Groton, CT 06340-6702 - City
- Groton
- State
- Connecticut
- Zip
- 06340-6702
- Phone Number
- 860-287-6393
Provider Business Mailing Address Details
- Address
- 481 Gold Star Hwy
301
Groton, CT 06340-6702 - City
- Groton
- State
- CT
- Zip
- 06340-6702
- Phone Number
- 860-287-6393
License Information
- License Number
- 8828
- License State
- CT
- Taxonomy
- Social Worker · 104100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kaileah Christie-Fogg, LCSW?
The NPI number of Kaileah Christie-Fogg, LCSW is 1972849289. It was assigned on December 14, 2012 and is currently active in the NPPES registry.
What is the specialty of Kaileah Christie-Fogg, LCSW?
Kaileah Christie-Fogg, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in CT under license number 8828.
Where does Kaileah Christie-Fogg, LCSW practice?
The practice location is 481 Gold Star Hwy, 301, Groton, CT 06340-6702. The office can be reached at 860-287-6393 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972849289 directly on the NPPES registry website.