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

Mayra Leon Fogg

Individual provider Mental Health Counselor · NPI 1467978981

Mayra Leon Fogg is a Clinical Social Worker in Visalia, California. Qualified in 2018, 8 years ago. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1830 S Central St
Visalia, CA 93277-4418
Phone: (559) 730-2969
Fax: (559) 730-2991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 105890 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1467978981
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 16, 2017
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Visalia