MAYRA LEON FOGG
NPI 1467978981
Social Worker in Visalia, CA

Q: What is Mayra Leon Fogg's NPI number?

The NPI number for Mayra Leon Fogg is 1467978981. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Q: What is Mayra Leon Fogg's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Mayra Leon Fogg was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 16, 2017PECOS Enrolled

1830 S CENTRAL ST, VISALIA, CA 93277(559) 730-2969(559) 730-2991 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2024, Jul 21, 2022, Aug 16, 2017 (3 updates tracked since 2017).

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About Mayra Leon Fogg NPPES

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

MAYRA LEON FOGG (NPI 1467978981) is an individual social worker in Visalia, California, licensed in California (105890) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1467978981

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMAYRA LEON FOGG

Location Address1830 S CENTRAL STVisalia, CA 93277-4418

Mailing Address1830 S Central StVisalia, CA 93277-4418 · (559) 730-2969 · Fax (559) 730-2991

Phone(559) 730-2969

Fax(559) 730-2991

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 16, 2017

Last NPPES UpdateMarch 6, 20243 updates tracked since enumeration

NPPES CertifiedMarch 6, 2024

✔ NPI 1467978981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · 105890

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1830 S CENTRAL ST, Visalia, CA 93277

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayra Leon Fogg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385123579

PECOS Enrollment IDI20260209001296

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

GRACIELA GARCIA

Counselor (Mental Health)