Mary Lynn Ogden, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

001796 Issued in MO

Practice address

1506 E. Broadway Suite 119
Employee Assistance Program Doctor'S Building
Columbia, MO 65201

Phone

(573) 815-6034

Fax

(573) 815-6477

NPI assigned

Apr 7, 2010

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

Other names 1

• Mary Lynn Rae Former name

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": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1396060968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 E. BROADWAY SUITE 119",
            "address_2": "EMPLOYEE ASSISTANCE PROGRAM DOCTOR'S BUILDING",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-815-6034",
            "fax_number": "573-815-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 E. BROADWAY SUITE 119",
            "address_2": "EMPLOYEE ASSISTANCE PROGRAM DOCTOR'S BUILDING",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-815-6034",
            "fax_number": "573-815-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGDEN",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "001796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "RAE",
            "middle_name": "LYNN",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ikenna Ebere Ogbonna, MD
• Andrew Ogden
• George Michael Ogden, D.D.S.
• Jamie Alise Ogden, MD
• Jason Shawn Ogden, MD
• Teresa Foley Oglesby, CRNA
• Shawn Devin Ohlms
• Kyle Alexander Ohman, MD
• Madelynne Margenthaler Ohmes
• Lauren Okamoto, MD

• Social Worker in Columbia, MO
• Providers in Columbia, MO by specialty
• Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.