Sherry Bougard, L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000008634 Issued in TN

Practice address

2139 Bennett Ave
Memphis, TN 38114-3608

Phone

(901) 494-9334

NPI assigned

Jun 11, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lovelace Medical, PC

  • General Practice Physician
  • Yonkers, NY
  • NPI 1366621401
  NPD (past)

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1043470131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 BENNETT AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381143608",
            "telephone_number": "901-494-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 BENNETT AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381143608",
            "telephone_number": "901-494-9334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 N Parkway Ste B4",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383052895",
            "country_code": "US",
            "telephone_number": "901-494-9334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1488 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381042447",
            "country_code": "US",
            "telephone_number": "901-726-4110",
            "fax_number": "901-726-4106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUGARD",
        "first_name": "SHERRY",
        "credential": "L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "CSW0000007414",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000008634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Paige Botts, PA-C
• Ernest O Botts IV, PA-C
• Gregory W. Boucek, DDS
• Andrew Bradley Boucher, M.D.
• Brian Bougard
• Cynthia Strickland Boughton, LPC-MHSP
• Lakina Bouie
• Thomas F Boulden, MD
• Susie Boulos, M.D.
• Jade Boulton, APRN

• Clinical Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.