Brandon Woodrow Boggess, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW006777 Issued in GA

Practice address

311 Point North PL
Suite 6
Dalton, GA 30720-2654

Phone

(706) 529-6647

Fax

(706) 529-9091

NPI assigned

Feb 2, 2015

Last updated

Feb 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dalton Counseling Service, Inc.

  • Clinical Psychologist
  • Dalton, GA
  • NPI 1760685762
  NPD (past)

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1548650302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 POINT NORTH PL",
            "address_2": "SUITE 6",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202654",
            "telephone_number": "706-529-6647",
            "fax_number": "706-529-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 POINT NORTH PL",
            "address_2": "SUITE 6",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202654",
            "telephone_number": "706-529-6647",
            "fax_number": "706-529-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGESS",
        "first_name": "BRANDON",
        "middle_name": "WOODROW",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW006777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biotech Labs LLC (Biotech Lab LLC)
• William M Blackman Jr., M.D.
• James C Blackwell, M.D.
• Meghan Blackwell, CCC-SLP
• Blue Lake Health, LLC
• Vincent Blake Boling, CRNA
• Ryan Bonanno, ATC
• Carmen Rose Bond, LMT, CNMT
• Holly Nicole Bottoms, A-GNP-C
• Jeffery Leroy Bouadou, M.D.

• Social Worker in Dalton, GA
• Providers in Dalton, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.