Organization Active NPI

Sherry Bougard

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1124852041
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHERRY BOUGARD
Practice address
2139 Bennett Ave
Memphis, TN 38114-3608
Phone
(731) 410-7719
Fax
(731) 214-1816
NPI assigned
Sep 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Authorized official

Name
Sherry Bougard, LCSW
Title
Owner
Phone
(731) 410-7719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2139 Bennett Ave
Memphis, TN 38114-3608

Mailing address

2139 Bennett Ave
Memphis, TN 38114-3608
Phone (731) 410-7719

Other names 1

  • Beecoming Greater Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1124852041",
    "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": "731-410-7719",
            "fax_number": "731-214-1816"
        },
        {
            "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": "731-410-7719",
            "fax_number": "731-214-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY BOUGARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "BOUGARD",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-410-7719",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beecoming Greater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.