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

Mr. George Allan Fogle, LCSW, CCM

Individual provider Clinical Social Worker · NPI 1346402245

Mr. George Allan Fogle, LCSW, CCM is a Clinical Social Worker in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4601 Dale Rd
Modesto, CA 95356-9718
Phone: (209) 735-5000
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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 LCS 19284 (CA)

Record details

NPI number1346402245
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , CCM
Sole proprietorYes
NPI enumeratedJuly 1, 2008
Last updated in NPPESJuly 1, 2008

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