Marianne Kikta Fougere, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008243 Issued in NC

Practice address

5850 Fayetteville Rd
Suite 211
Durham, NC 27713-6289

Phone

(919) 294-8981

Fax

(919) 999-2497

NPI assigned

Feb 14, 2007

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greenlee Psychological and Support Services, PLLC

  • Psychologist
  • Durham, NC
  • NPI 1649619362
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1801939392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GRAPEVINE TRL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075296",
            "telephone_number": "951-532-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 FAYETTEVILLE RD",
            "address_2": "SUITE 211",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136289",
            "telephone_number": "919-294-8981",
            "fax_number": "919-999-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUGERE",
        "first_name": "MARIANNE",
        "middle_name": "KIKTA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaleah Foster
• Sherelle Foster
• Stephanie Foster, PA-C
• William Leicester Foster Jr., M.D.
• Claudia Foubert
• Aliya Iman Yasmeen Fountain
• Claire Nakajima Fountaine, FNP
• Four Oaks Home Care Services LLC Part 2
• Megan Foreman Foureman, CRNA
• Catherine Suitt Fournier, FNP-C

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.