Individual provider · Type 1 NPI

George Allan Fogle, LCSW, CCM

Clinical Social Worker · Modesto, CA

NPI number 1346402245 Active

Practice location

4601 Dale Rd
Modesto, CA 95356-9718

Call (209) 735-5000 Map

Mailing address

5669 Gold Creek Dr
Castro Valley, CA 94552-5443

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 19284 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1346402245

George Allan Fogle, LCSW, CCM's National Provider Identifier is 1346402245, issued on Jul 1, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Modesto, CA. The record was last updated on Jul 1, 2008.