Paula R Fogelberg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000000196 Issued in TN

Practice address

108 4TH Ave S Ste 201
Franklin, TN 37064-2676

Phone

(615) 794-3788

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1700916699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 4TH AVE S STE 201",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370642676",
            "telephone_number": "615-794-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 4TH AVE S STE 201",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370642676",
            "telephone_number": "615-794-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGELBERG",
        "first_name": "PAULA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000000196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Floyd
• Glendalyn E Fodra, PT
• Maria Febes Santos Fodra, PT
• Troy Salvanera Fodra, PT
• John R. Fogaros, D.D.S
• Callie Fold, DPT
• Nina Henson Foley, D.M.D.
• Chad Follis, D.D.S.
• Sherry C Folsom
• Shay Michael Fontenot, PTA

• Clinical Social Worker in Franklin, TN
• Providers in Franklin, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.