Individual provider · Type 1 NPI

Kyra Ann Fogg

Clinical Social Worker · Huntersville, NC

NPI number 1831866557 Active

Practice location

16415 Northcross Dr Ste F
Huntersville, NC 28078-5001

Call (704) 799-6824 Map

Fax (704) 799-6825

Mailing address

134 Infield Ct
Mooresville, NC 28117-8026

Other practice locations

  • 22001 Fairmount Blvd, Shaker Heights, OH 44118-4897 · (216) 932-2800
  • 18 N Forge St, Akron, OH 44304-1317 · (330) 762-0591
  • 134 Infield Ct, Mooresville, NC 28117-8026 · (704) 799-6824

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 1831866557

Kyra Ann Fogg's National Provider Identifier is 1831866557, issued on Aug 30, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Huntersville, NC. The record was last updated on Sep 28, 2023.