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

Nykenji Nicole Fogg, LCSW-C

Individual provider Clinical Social Worker · NPI 1164192068

Nykenji Nicole Fogg, LCSW-C is a Clinical Social Worker in Churchton, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2021

Practice location Address checks out

5881 Shady Side RD
Churchton, MD 20733-9637
Phone: (443) 822-7273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 20525 (MD)

Record details

NPI number1164192068
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedSeptember 14, 2021
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021