Jaime N Fogarty, LSW
Individual provider Active NPI Clinical Social Worker · Wauseon, OH
NPI 1720749237 · NPPES record last updated Jan 6, 2022
Key facts
- NPI
- 1720749237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 850 W Elm St
Wauseon, OH 43567-1189 - Phone
- (567) 343-6068
- Fax
- (413) 254-6065
- NPI assigned
- Jan 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joy D Fruchey and Associates | Clinical | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
850 W Elm St
Wauseon, OH 43567-1189
Mailing address
PO Box 293
Wauseon, OH 43567-0293
Phone (567) 343-6068
Other providers in Wauseon, OH
- Rachel Finn
- Brianna L Fisher
- Rosemary Ann Fisher
- Natalia Flores
- Sema Justus Fofung
- Benjamin Timothy Forrester
- Four County Family Center
- Lisa Ann Fox
- Rebecca C Fox
- Frank-Wheeler Chiropractic LLC
All providers in Wauseon, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.