Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NYKENJI NICOLE FOGG, LCSW-C
Active Sole ProprietorNYKENJI NICOLE FOGG, LCSW-C is a Clinical Social Worker healthcare provider located in CHURCHTON, Maryland. NPI 1164192068 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · CHURCHTON, MD
Registration Details
- NPI Number
- 1164192068
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2021 (4.9499503783661 yrs)
- Last Updated
- Sep 14, 2021
- License
-
20525 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5881 SHADY SIDE RDCHURCHTON, MD, 207339637Browse MD providers · Browse ZIP 20733
- Phone
- 4438227273
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.