Individual provider · Type 1 NPI

Jaime N. Fogarty, LSW

Clinical Social Worker · Wauseon, OH

NPI number 1720749237 Active

Practice location

850 W Elm St
Wauseon, OH 43567-1189

Call (567) 343-6068 Map

Fax (413) 254-6065

Mailing address

PO Box 293
Wauseon, OH 43567-0293

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1720749237

Jaime N. Fogarty, LSW's National Provider Identifier is 1720749237, issued on Jan 6, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wauseon, OH. The record was last updated on Jan 6, 2022.