Colleen Bokman, LCSW-C, LICSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15862 Issued in MD

Practice address

4905 Del Ray Ave Ste 210
Bethesda, MD 20814-2559

Phone

(301) 775-2839

NPI assigned

Aug 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1407687429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 DEL RAY AVE STE 210",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142559",
            "telephone_number": "301-775-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 DEL RAY AVE STE 210",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142559",
            "telephone_number": "301-775-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKMAN",
        "first_name": "COLLEEN",
        "credential": "LCSW-C, LICSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200001795",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013961",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Allen Boggs, M.D.
• Caryn E Bohac, LCPC
• Sabre Bohannan
• Erin Marie Bohen, M.D.
• Michael Boivin, MD, MPH
• Charles Daniel Bolan Jr., M.D.
• Danshay Anita Bolden
• George Bolen, M.D.
• Michael Anthony Bolognese, M.D.
• Jeffrey Bolstridge, D.O.

• Clinical Social Worker in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.