Elizabeth C. Bogus, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW1141203 Issued in MA

Practice address

1350 Main St
Walpole, MA 02081-1718

Phone

(508) 668-2223

Fax

(508) 850-9727

NPI assigned

Sep 24, 2019

Last updated

Aug 13, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• 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

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1174174825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811718",
            "telephone_number": "508-668-2223",
            "fax_number": "508-850-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811718",
            "telephone_number": "508-668-2223",
            "fax_number": "508-850-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGUS",
        "first_name": "ELIZABETH",
        "middle_name": "C.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02990",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1141203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell William Bisesi, APRN BC
• Mona Bissany
• Karen Terese Blaydes, SLP
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• Madelyn Bodi
• Julie-Anne Borrelli
• Marybeth Bosak
• Boston Healthcare Inc
• Mitzi Bramble, MA, LMHC
• Dina Breger

• Clinical Social Worker in Walpole, MA
• Providers in Walpole, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.