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

Madelaine Marie Fogarty

Individual provider Counselor · NPI 1174870315

Madelaine Marie Fogarty is a Counselor in San Leandro, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2012
Specialties on file
6
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Practice location Address checks out

2275 Arlington Dr
San Leandro, CA 94578-1132
Phone: (510) 317-1444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2370 Grande Vista Pl, Oakland, CA 94601-1351 — (510) 317-1444

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 125041 (CA)
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence 91503 (CA)
Social Worker Taxonomy 104100000X · Licence 91503 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 91503 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 91503 (CA)

Record details

NPI number1174870315
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 7, 2012
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

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