Jessica Boghosian, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

90841 Issued in CA

Practice address

5550 Telegraph Rd Ste B1
Ventura, CA 93003-4260

Phone

(805) 225-3064

NPI assigned

Feb 20, 2024

Last updated

Feb 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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

• Ventura Family Therapy Collective

  • Marriage & Family Therapist
  • Ventura, CA
  • NPI 1770222960
  NPD (past)

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1164287827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BRENTWOOD AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 TELEGRAPH RD STE B1",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034260",
            "telephone_number": "805-225-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGHOSIAN",
        "first_name": "JESSICA",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "90841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anu Priyanka Bodla, MBBS, MD
• Body Works Physical Therapy, Inc
• Pamela Judy Bogen, L.C.S.W.
• Silvana Betzabe Boggio
• Michael Boggs, O.D.
• Ryan Vincent Bohan
• Janelle Bohl, M.D.
• Paul Gunnar Bohman, DDS
• Jerry Bokoles, PSY.D.
• Ma Lizza Bolanos, RN

• Clinical Social Worker in Ventura, CA
• Providers in Ventura, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.