Doctor Name: | NANCY B BOGAN |
NPI Number: | 1013069988 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 418 |
Business Practice Address: | 4615 Government St Building 2 Baton Rouge, LA - 708065820 |
Business Phone Number: | 2259251906 |
Business Fax Number: | 2259251972 |
Mailing Address: | 4615 Government St, Building 2 BATON ROUGE |
State: | LA |
Postal Code: | 708065820 |
Phone Number: | 2259251906 |
Fax Number: | 2259251972 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 418 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |