Active NPI
Kboggspc
- Clinical Social Worker
- Lawrenceville, GA
National Provider Identifier
1386085280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW001288
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Lawrenceville, GA
- NPI 1841375656
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.