David Breck Boggio, SW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-4374 Issued in NM

Practice address

PO Box 3338
Albuquerque, NM 87190-3338

Phone

(505) 255-5099

NPI assigned

Mar 14, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407989718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 HANNETT AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105015",
            "telephone_number": "505-514-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 3338",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871903338",
            "telephone_number": "505-255-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGIO",
        "first_name": "DAVID",
        "middle_name": "BRECK",
        "credential": "SW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-4374",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "Z 8589",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z 8589",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Joseph Boersma
• Bogachiel Dialysis LLC (Del Norte Dialysis)
• Lynda Bogar
• Jennifer Bogart
• Michael Bogenschutz, MD
• Maria Boggio, PT
• Bokang Bogopane, D.D.S.
• Devin L Bogus, MD
• Leah Bogusch, PHD
• Juliane Nichole Bohan, MD

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.