MADELAINE MARIE FOGARTY
NPI 1174870315
Social Worker - Clinical in San Leandro, CA

Q: What is Madelaine Fogarty's NPI number?

The NPI number for Madelaine Fogarty is 1174870315. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Q: What is Madelaine Fogarty's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Madelaine Fogarty was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 07, 2012

2275 ARLINGTON DR, SAN LEANDRO, CA 94578(510) 317-1444 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2023, Sep 4, 2019, Aug 14, 2019 and 1 more (4 updates tracked since 2018).

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About Madelaine Marie Fogarty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADELAINE MARIE FOGARTY (NPI 1174870315) is an individual clinical provider in San Leandro, California, licensed in California (125041) and active in the NPI registry since August 2012. She maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1174870315

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMADELAINE MARIE FOGARTY

Location Address2275 ARLINGTON DRSan Leandro, CA 94578-1132

Mailing Address3695 High StOakland, CA 94619-2105 · (510) 434-7990

Phone(510) 317-1444

Sole ProprietorNo

Enumeration DateAugust 7, 2012

Last NPPES UpdateAugust 27, 20244 updates tracked since enumeration

NPPES CertifiedAugust 27, 2024

✔ NPI 1174870315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in CA · 125041✔ Licensed in CA · 91503

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 91503 (CA)

Also ListedSocial WorkerTaxonomy 104100000X · License 91503 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 91503 (CA)

2275 ARLINGTON DR, San Leandro, CA 94578

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Secondary Practice Location 1

Location 12370 Grande Vista PlOakland, CA 94601-1351 · Phone (510) 317-1444

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANUSHEH N WARDA

Counselor