KAILEAH CHRISTIE-FOGG


Address: 481 Gold Star Hwy, 301, Groton, CT 06340-6702
Phone: 8602876393

KAILEAH CHRISTIE-FOGG (NPI# 1972849289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972849289
Entity Type Individual
Full Name KAILEAH CHRISTIE-FOGG
Other Name KAILEAH CHRISTIE
Credential LCSW
Practice Address 481 Gold Star Hwy
301
Groton
CT 06340-6702
Practice Telephone 8602876393
Mailing Telephone 8602876393
Enumeration Date 2012-12-14
Last Update Date 2016-08-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 8828 CT Behavioral Health & Social Service Providers

Office Location

Street Address 481 GOLD STAR HWY
301
City GROTON
State CT
Zip Code 06340-6702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346246444 Anandhi Baleswaren Internal Medicine 481 Gold Star Hwy, Suite 100, Groton, CT 06340-6702 2005-06-23
1760856181 Kmg Therapy and Consulting LLC Social Worker 481 Gold Star Hwy, Suite 301, Groton, CT 06340-6702 2015-11-23
1780057653 Kaileah Christie-fogg, LLC Social Worker 481 Gold Star Hwy, Suite 301, Groton, CT 06340-6702 2015-11-02
1932518008 Sarah M Riccitelli Physical Therapist 481 Gold Star Hwy, Suite 302, Groton, CT 06340-6702 2014-08-04
1659713428 Kla Kemp, LLC Social Worker 481 Gold Star Hwy, Groton, CT 06340-6702 2013-07-22
1245592617 Physical Therapy of Mystic, LLC Physical Therapist 481 Gold Star Hwy, Suite 201, Groton, CT 06340-6702 2012-06-12
1730400318 Michelle Bussolotti, Lmft Marriage & Family Therapist 481 Gold Star Hwy, Groton, CT 06340-6702 2010-06-17
1437334851 Community Health Center Inc Family Medicine 481 Gold Star Hwy, Suite 100, Groton, CT 06340-6702 2008-01-03
1952596173 Ron A. Agostini Physical Therapist 481 Gold Star Hwy, Suite 201, Groton, CT 06340-6702 2007-09-11
1437284395 Susan B Kohn Registered Nurse 481 Gold Star Hwy, Suite 100, Groton, CT 06340-6702 2007-02-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912558610 Bruce Lancel Bernardo Lara Military Health Care Provider Fpo, Ae, 09587-2417, Groton, AE 06340 2019-09-24
1295393692 Ermelinda Elaine Alviso Military Health Care Provider Trout Ave, Groton, CT 06340 2019-05-31
1679034011 Derek James Hale Military Health Care Provider Fc 83 Numi, Trout Ave, Groton, CT 06340 2019-03-28
1063973790 Cody Eugene Shaw Military Health Care Provider Numi, Trout Ave Building 83, Groton, CT 06340 2019-03-26
1265906911 Homelife Companions and Homemakers, LLC Adult Companion 1 Fort Hill Road, Suite 3, Groton, CT 06340 2019-01-16
1144735457 Kristina Marie Carta Behavior Technician 220 Rt 12, Suite 205, Groton, CT 06340 2017-12-08
1538674262 Tercel Dental Pllc Dentist 643 Gold Star Hwy., Groton, CT 06340 2017-12-04
1306361662 Stonington Behavioral Health Inc Psychologist 618 Poquonnock Rd, Groton, CT 06340 2017-08-08
1104347806 Renae Reynolds Optometrist 489 Gold Star Hwy Ste 100, Groton, CT 06340 2017-07-03
1053831552 Susan A Bradbury Physical Therapist 455 Eastern Point Rd, Groton, CT 06340 2017-06-26
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902211618 Tammy Meredith Cook Social Worker 19 Lowell Rd, 102, Groton, MA 01450-1370 2014-06-23
1295094829 Emily Ross Social Worker 120 Boston Rd Ste 200, Groton, MA 01450-1860 2012-05-16
1205909017 Joanne Carol Hairy Shirt Social Worker 40703 128 St, Groton, SD 57445 2006-11-17
1982616587 Kathleen Confrey Smith Social Worker 481 Goldstar Highway, #301, Groton, CT 06340 2006-08-12
1467468322 Brittany Lee Valentine Social Worker 333 Long Hill Rd, Groton, CT 06340 2006-07-31
1972153781 Alison Doolittle Social Worker 591 Poquonnock Rd, Groton, CT 06340-4571 2019-09-13
1568010551 Eilish M Conway Social Worker 591 Poquonnock Rd, Groton, CT 06340-4571 2019-09-03
1194381988 Tori Ashley Penner Social Worker 591 Poquonnock Rd, Groton, CT 06340-4571 2019-05-16
1669871232 Kyrah Augmon-bossa Social Worker 250 Brandegee Ave, Groton, CT 06340 2014-08-19
1831453471 Karina Sanchez Social Worker 542 Long Hill Rd, Groton, CT 06340-4108 2012-06-28
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Competitor

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City GROTON
Zip Code 06340

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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