Organization Active NPI

Kboggspc

  • Clinical Social Worker
  • Lawrenceville, GA
National Provider Identifier
1386085280
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW001288 Issued in GA
Legal business name
KBOGGSPC
Practice address
5435 Sugarloaf Pkwy
Suite 1104
Lawrenceville, GA 30043
Phone
(678) 358-6200
NPI assigned
Jul 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Katherine Boggs, LCSW
Title
President
Phone
(678) 358-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CSW001288 GA Primary

Addresses

Primary practice location

5435 Sugarloaf Pkwy
Suite 1104
Lawrenceville, GA 30043

Mailing address

4602 Sequoia Cir
Oakwood, GA 30566-2129
Phone (678) 358-6200

National Provider Directory

National Provider Directory

Locations

4940 Jot Em Down Rd
Cumming, GA 30041
Phone (678) 358-6200

5435 Sugarloaf Pkwy
Ste 1102
Lawrenceville, GA 30043
Phone (678) 358-6200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1386085280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 SEQUOIA CIR",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305662129",
            "telephone_number": "678-358-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 SUGARLOAF PKWY",
            "address_2": "SUITE 1104",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30043",
            "telephone_number": "678-358-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBOGGSPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-358-6200",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.