Shelley E. Boggan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8189 Issued in FL

Practice address

1300 Bruce B Downs Blvd
Social Work Services
Tampa, FL 33612-9217

Phone

(813) 972-2000

Fax

(813) 903-2429

NPI assigned

Jan 22, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1093992091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BRUCE B DOWNS BLVD",
            "address_2": "SOCIAL WORK SERVICES",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336129217",
            "telephone_number": "813-972-2000",
            "fax_number": "813-903-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BRUCE B DOWNS BLVD",
            "address_2": "SOCIAL WORK SERVICES",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336129217",
            "telephone_number": "813-972-2000",
            "fax_number": "813-903-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGAN",
        "first_name": "SHELLEY",
        "middle_name": "E.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Rae Boehnlein, MS, RD, LD, CSSD
• Jon P Boettger, P.A.
• Samantha Bogard, DO
• Caitlyn Mackenzie Bogart, OTR/L
• Delia Bogert
• Raul R. Boggio, M. D.
• Christina Danielle Boggs, PH.D.
• Maureen Elizabeth Boggs, MSW
• Triana Monez Boggs, APRN, CNM
• Shannon Bogle, PT

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.