KAILEAH CHRISTIE-FOGG, LLC
NPI 1780057653
Social Worker - Clinical in Groton, CT

Q: What is Kaileah Christie-Fogg, LLC's NPI number?

The NPI number for Kaileah Christie-Fogg, LLC is 1780057653. It was assigned to this organization in the NPPES registry on November 2, 2015.

Q: What is Kaileah Christie-Fogg, LLC's specialty?

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

Active since November 02, 2015

481 GOLD STAR HWY, SUITE 301, GROTON, CT 06340(860) 287-6393 Get Directions Write a Review

NPPES record last updated: October 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kaileah Christie-fogg, Llc NPPES

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

KAILEAH CHRISTIE-FOGG, LLC (NPI 1780057653) is a healthcare organization registered as a clinical in Groton, Connecticut and active in the NPI registry since November 2015. The organization lists Kaileah Christie-fogg, Owner, as its authorized official.

NPPES Registry Identity

NPI1780057653

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameKAILEAH CHRISTIE-FOGG, LLC

Location Address481 GOLD STAR HWY, SUITE 301Groton, CT 06340-6702

Mailing Address351 Shewville RdLedyard, CT 06339-2019 · (860) 287-6393

Phone(860) 287-6393

Organization SubpartNo

Authorized OfficialKaileah Christie-foggOwner · (860) 287-6393

Enumeration DateNovember 2, 2015

Last NPPES UpdateOctober 27, 2016

✔ NPI 1780057653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CT · 008828

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.

481 GOLD STAR HWY, Groton, CT 06340

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

PHYSICAL THERAPY OF MYSTIC, LLC

Physical Therapist

481 GOLD STAR HWY, SUITE 201
GROTON, CT 06340

Southeastern Connecticut Planning Region (860) 445-9433

MARITZA BOURASSA LCSW

Social Worker (Clinical)

481 GOLD STAR HWY, SUITE 301
GROTON, CT 06340

Southeastern Connecticut Planning Region (860) 448-9755

ANANDHI BALESWAREN MD

Internal Medicine

481 GOLD STAR HWY, SUITE 100
GROTON, CT 06340

Southeastern Connecticut Planning Region (860) 446-8858

MRS. LAUREL ANNE WIERS LMFT

Marriage & Family Therapist

481 GOLD STAR HWY, SUITE 301
GROTON, CT 06340

Southeastern Connecticut Planning Region (860) 448-9755

SUSAN B KOHN F.N.P.

Nurse Practitioner (Family)

481 GOLD STAR HWY, SUITE 100
GROTON, CT 06340

Southeastern Connecticut Planning Region (860) 446-8858

COMMUNITY HEALTH CENTER INC

Clinic/Center (Federally Qualified Health Center (FQHC))

481 GOLD STAR HWY, SUITE 100
GROTON, CT 06340

Southeastern Connecticut Planning Region (860) 446-8858

MR. THOMAS KUCHARCHIK MD

Family Medicine

481 GOLD STAR HWY, SUITE 100
GROTON, CT 06340

Southeastern Connecticut Planning Region (860) 446-8858

DR S D GOLDBERG LLC

Marriage & Family Therapist

481 GOLD STAR HWY, SUITE 301
GROTON, CT 06340

Southeastern Connecticut Planning Region (860) 446-7573

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaileah Christie-Fogg, LLC's NPI number?

The NPI number for Kaileah Christie-Fogg, LLC is 1780057653. It was assigned to this organization in the NPPES registry on November 2, 2015.

Where is Kaileah Christie-Fogg, LLC located?

Kaileah Christie-Fogg, LLC is located at 481 Gold Star Hwy Suite 301, Groton, CT 06340. The listed phone number is (860) 287-6393.

What is Kaileah Christie-Fogg, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kaileah Christie-Fogg, LLC was last updated on October 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.