Susan Louise Bogue in Sycamore - Clinical
Susan Louise Bogue - NPI 1720193832
Susan Louise Bogue is a Clinical in Sycamore, Illinois. Susan Louise Bogue practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Louise Bogue is 1720193832. The last update date is 2013-06-28.
Susan Louise Bogue's current location address is 920 W Prairie Dr Ste F, Sycamore, Illinois. You can contact this provider via phone number 8158990501 and fax number 8158992098. The mailing address for Susan Louise Bogue is 920 W Prairie Dr Ste F, Sycamore, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Louise Bogue |
|---|---|
| Address | 920 W Prairie Dr Ste F, Sycamore, Illinois |
| Phone Number | 8158990501 |
| Fax Number | 8158992098 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1720193832 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2013-06-28 |
Provider Mailing Address Detail
| Address | 920 W Prairie Dr Ste F |
|---|---|
| City | Sycamore |
| State | Illinois (IL) |
| Post Code | 601783123 |
| Phone Number | 8158990501 |
| Fax Number | 8158992098 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149002479 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code issued to Susan Louise Bogue by the Centers for Medicare & Medicaid Services?
The Susan Louise Bogue has been assigned the NPI (National Provider Identifier) 1720193832 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Susan Louise Bogue's facilities are situated?
The facilities of Susan Louise Bogue are physically located at the following address: 920 W Prairie Dr Ste F, Sycamore, IL, 601783123.
What is Susan Louise Bogue's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan Louise Bogue's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When was the Susan Louise Bogue's 1720193832 issued?
The Susan Louise Bogue's 1720193832 was issued on 2006-08-20.
When was the information regarding Susan Louise Bogue most recently updated?
The details pertaining to the Susan Louise Bogue, including its address, specialty, and other relevant information, were last refreshed on 2013-06-28.
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