Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Fogle

Individual provider Clinical Social Worker · NPI 1427533066

Kimberly Fogle is a Clinical Social Worker in Berlin, Maryland. Qualified in 1993, 33 years ago. Practices with Seaside Counseling and Wellness Center, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
33
Licensed in
MA
In the registry since
2018
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Practice location Address checks out

314 Franklin Ave Ste 306
Berlin, MD 21811-1238
Phone: (410) 973-2525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 107941 (MA)

Record details

NPI number1427533066
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 29, 2018
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023
Mailing address314 Franklin Ave Ste 306, Berlin, MD 21811-1238

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Seaside Counseling And Wellness Center, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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