Kali Chlorin Fagnant

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

59803 Issued in TX

Practice address

15022 Tuff Rd
Manor, TX 78653-2344

Phone

(307) 254-0572

NPI assigned

Oct 30, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1134473069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15022 TUFF RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786532344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15022 TUFF RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786532344",
            "telephone_number": "307-254-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGNANT",
        "first_name": "KALI",
        "middle_name": "CHLORIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elgin Orthodontics, PLLC
• Enamel Dentistry Manor, PLLC
• Eduardo Escobar
• Essential Dental Manor PLLC
• Extracare Palliative Consultants, PA
• Fallen Tree Corp
• Warda Fettah
• Allison Frazier, LPC
• Fuji Transportation LLC
• Full Spectrum Counseling PLLC

• Clinical Social Worker in Manor, TX
• Providers in Manor, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.