Provider Demographics
NPI:1629572961
Name:BOGGS, BRITTNEY (LCSWA)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:BOGGS
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 TARLETON CIR
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-7067
Mailing Address - Country:US
Mailing Address - Phone:828-460-5533
Mailing Address - Fax:
Practice Address - Street 1:323 TARLETON CIR
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-7067
Practice Address - Country:US
Practice Address - Phone:828-460-5533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-21
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0163081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty