Kathleen A. Bogie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149003541 Issued in IL

Practice address

2143 Lincolnwood Dr
Evanston, IL 60201-2060

Phone

(224) 392-5467

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• United Medical Group, SC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1427244029
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1013088749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 LINCOLNWOOD DR",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012060",
            "telephone_number": "847-869-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 LINCOLNWOOD DR",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012060",
            "telephone_number": "224-392-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGIE",
        "first_name": "KATHLEEN",
        "middle_name": "A.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SCHIELD",
            "identifier": "01636441",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Anne Bock, RN, CRNA
• Body and Wellness Physical Therapy, LLC
• Lynn Boecler, PHARM.D.
• Robbie D. Bogard, LCSW
• Nicole Elizabeth Bogdanovich, M.D.
• Bettina Ute Bohle-Frankel, M.D.
• Allison Shae Bohlmann, PA-C
• Brittney R Bolden, M.S.
• Amanda Lynn Bollman
• James J Bonk III

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.