Individual provider Active NPI

Chelsea Noellle Fogal, MSW

  • Social Worker
  • New York, NY
National Provider Identifier
1316061948
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
411 Lafayette St Ste 644
New York, NY 10003-7032
Phone
(646) 450-4353
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

411 Lafayette St Ste 644
New York, NY 10003-7032

Mailing address

41 1St St Apt 3a
Hoboken, NJ 07030-5728
Phone (949) 750-6678

Other practice location 1

41 1st St Apt 3A
Hoboken, NJ 07030-5728
Phone (646) 450-4353

Other names 1

  • Chelsea Noelle Tallcott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1316061948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 1ST ST APT 3A",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305728",
            "telephone_number": "949-750-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAFAYETTE ST STE 644",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100037032",
            "telephone_number": "646-450-4353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 1st St Apt 3A",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070305728",
            "country_code": "US",
            "telephone_number": "646-450-4353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGAL",
        "first_name": "CHELSEA",
        "middle_name": "NOELLLE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "TALLCOTT",
            "middle_name": "NOELLE",
            "credential": "B.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.