Julia Simone Fogelson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

93643 Issued in CA

Practice address

828 San Pablo Ave
Albany, CA 94706-1567

Phone

(310) 702-6792

NPI assigned

Jun 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1942680293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 SAN PABLO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061567",
            "telephone_number": "310-702-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 SAN PABLO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061567",
            "telephone_number": "310-702-6792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Market St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941026228",
            "country_code": "US",
            "telephone_number": "415-476-3902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGELSON",
        "first_name": "JULIA",
        "middle_name": "SIMONE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Finch, L.AC.
• Neil A. Fiore, PH.D.
• Barbara Fisher, LCSW
• Charlotte Camille Fisher
• Ira Bruce Fishman, M.D.
• Heather Folsom, M.D
• Anahita Forati, DAOM
• Cynthia Marie Foust
• Robert Keppler Fowler, D.D.S.
• Monica Frame, LCSW

• Clinical Social Worker in Albany, CA
• Providers in Albany, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.