Pamela Judy Bogen, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25419 Issued in CA

Practice address

800 S Victoria Ave # L4615
Ventura, CA 93009-2103

Phone

(805) 504-7358

NPI assigned

Mar 31, 2007

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

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": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1265552236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 GOLDEN POND DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930127740",
            "telephone_number": "805-484-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S VICTORIA AVE # L4615",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930092103",
            "telephone_number": "805-504-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGEN",
        "first_name": "PAMELA",
        "middle_name": "JUDY",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW12471",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicky Bobadilla, PA-C
• Andrei Victor Bobrow, M.D.
• Diane Bock
• Anu Priyanka Bodla, MBBS, MD
• Body Works Physical Therapy, Inc
• Silvana Betzabe Boggio
• Michael Boggs, O.D.
• Jessica Boghosian, ACSW
• Ryan Vincent Bohan
• Janelle Bohl, M.D.

• 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 Oct 26, 2020; 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.