Kaileah Christie-Fogg, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008828 Issued in CT

Legal business name

KAILEAH CHRISTIE-FOGG, LLC

Practice address

481 Gold Star Hwy
Suite 301
Groton, CT 06340-6702

Phone

(860) 287-6393

NPI assigned

Nov 2, 2015

Last updated

Oct 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kaileah Christie-Fogg, LCSWNPI 1972849289

Title

Owner

Phone

(860) 287-6393

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaileah Christie-Fogg, LCSW

  • Social Worker
  • Groton, CT
  • NPI 1972849289
  NPD (past) Authorized official

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1780057653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 SHEWVILLE RD",
            "city": "LEDYARD",
            "state": "CT",
            "postal_code": "063392019",
            "telephone_number": "860-287-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 GOLD STAR HWY",
            "address_2": "SUITE 301",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406702",
            "telephone_number": "860-287-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAILEAH CHRISTIE-FOGG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE-FOGG",
        "authorized_official_first_name": "KAILEAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-287-6393",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghann Kathleen Jokela-Thompson, PHARMD
• Robert James Jones, IDC
• Kelsey Lyn Joslyn
• Julie B. Bean, LLC
• Zachary J. Jupin, PA-C
• Kallinen Eye Care, LLC (Groton Eye Center)
• Marc Bruce Kallinen, O.D.
• Dean Kang, PHARM.D.
• Lauren Kapell
• Tamazur Karim

• Clinical Social Worker in Groton, CT
• Providers in Groton, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.