Sally Fogle (NPI# 1316185671, PAC ID# 4587721386) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1316185671 |
| PAC ID by PECOS | 4587721386 |
| Professional Enrollment ID | I20090323000375 |
| Full Name | Sally Fogle |
| Organization Legal Name | SAFE HARBOR BEHAVIORAL CARE LLC |
| Address |
1208 E Churchville Rd Suite 300 Bel Air MD 21014-3485 |
| Phone Number | 4108934600 |
| Gender | F |
| Graduation Year | 1994 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 0345514675 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1208 E Churchville Rd, Suite 300, Bel Air, MD 21014-3485 | 4108934600 | SAFE HARBOR BEHAVIORAL CARE LLC |
| 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 | 3018315850 | PSYCHOGERIATRIC SERVICES LLC |
| Organization Legal Name | SAFE HARBOR BEHAVIORAL CARE LLC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith Railson | Clinical Social Worker | Safe Harbor Behavioral Care LLC | 1641 Old Westminster Rd, Westninster, MD 21157-2718 |
| Rachel Kendzejeski | Clinical Social Worker | Safe Harbor Behavioral Care LLC | 1705 Conowingo Rd, Bel Air, MD 21014-1815 |
| Nji J Fru | Nurse Practitioner | Safe Harbor Behavioral Care LLC | 2 Post Office Rd, Suite 1a, Waldorf, MD 20602-2726 |
| Stephen Osterhout | Clinical Social Worker | Safe Harbor Behavioral Care LLC | 8200 Old Columbia Rd, Fulton, MD 20759-2201 |
| Kiu Eubanks Smith | Psychologist, Clinical | Safe Harbor Behavioral Care LLC | 1208 E Churchville Rd, Suite 300, Bel Air, MD 21014-3485 |
| Wanda Ranee Scott | Clinical Social Worker | Safe Harbor Behavioral Care LLC | 1739 9th St Nw, Washington, DC 20001-4131 |
| Sterling Hawkins | Clinical Social Worker | Safe Harbor Behavioral Care LLC | 13611 Laurel Bowie Rd, Laurel, MD 20708-1563 |
| Renita Somerville | Clinical Social Worker | Safe Harbor Behavioral Care LLC | 1208 E Churchville Rd, Suite 300, Bel Air, MD 21014-3485 |
| William R Walls | Clinical Social Worker | Safe Harbor Behavioral Care LLC | 1208 E Churchville Rd, Suite 300, Bel Air, MD 21014-3485 |
| Leo Fenzel Jr. | Psychologist, Clinical | Safe Harbor Behavioral Care LLC | 1208 E Churchville Rd, Suite 300, Bel Air, MD 21014-3485 |
| Street Address |
1208 E CHURCHVILLE RD SUITE 300 |
| City | BEL AIR |
| State | MD |
| Zip | 21014-3485 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kiu Eubanks Smith | Psychologist, Clinical | Safe Harbor Behavioral Care LLC | 1208 E Churchville Rd, Suite 300, Bel Air, MD 21014-3485 |
| Renita Somerville | Clinical Social Worker | Safe Harbor Behavioral Care LLC | 1208 E Churchville Rd, Suite 300, Bel Air, MD 21014-3485 |
| William R Walls | Clinical Social Worker | Safe Harbor Behavioral Care LLC | 1208 E Churchville Rd, Suite 300, Bel Air, MD 21014-3485 |
| Leo Fenzel Jr. | Psychologist, Clinical | Safe Harbor Behavioral Care LLC | 1208 E Churchville Rd, Suite 300, Bel Air, MD 21014-3485 |
| Jeffrey O Donnell | Clinical Social Worker | Safe Harbor Behavioral Care LLC | 1208 E Churchville Rd, Suite 300, Bel Air, MD 21014-3485 |
| Judie Thompson Stokes | Clinical Social Worker | Safe Harbor Behavioral Care LLC | 1208 E Churchville Rd, Suite 300, Bel Air, MD 21014-3485 |
| Joan M Jones | Clinical Social Worker | Safe Harbor Behavioral Care LLC | 1208 E Churchville Rd, Suite 300, Bel Air, MD 21014-3485 |
| Archana Sood | Family Medicine | 1208 E Churchville Rd, Suite 200, Bel Air, MD 21014-3442 | |
| Donna L Benford | Clinical Social Worker | Safe Harbor Behavioral Care LLC | 1208 E Churchville Rd, Suite 300, Bel Air, MD 21014-3485 |
| Jerry Lawler | Psychologist, Clinical | Safe Harbor Behavioral Care LLC | 1208 E Churchville Rd, Suite 300, Bel Air, MD 21014-3485 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Werth | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd, Suite C, Bel Air, MD 21014-1809 |
| Chelsea A Mitchell | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd C, Bel Air, MD 21014-1809 |
| Sara Elizabeth Colasuonno | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd, Suite C, Bel Air, MD 21014-1809 |
| Zachary Joseph Kaminski | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd, Suite C, Bel Air, MD 21014-1809 |
| Logan Havel Buckley | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd, Suite C, Bel Air, MD 21014-1809 |
| Brianna M Chaney | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd, Suite C, Bel Air, MD 21014-1809 |
| William Young | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd, Suite C, Bel Air, MD 21014-1809 |
| Rachel Kendzejeski | Clinical Social Worker | Safe Harbor Behavioral Care LLC | 1705 Conowingo Rd, Bel Air, MD 21014-1815 |
| Dennis Kurgansky | Dermatology | 2 N Ave, Suite 100, Bel Air, MD 21014-2030 | |
| Shilpi Khosla | Internal Medicine | Harford Primary Care LLC | 2 N Ave, Suite 101, Bel Air, MD 21014-2303 |
| Find all physicians in zip 21014 | |||
| City | BEL AIR |
| Zip Code | 21014 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BEL AIR + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Sally Fogle.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.