Individual provider Active NPI

Clare Fielding Bogle, MSW, LCSW

  • Clinical Social Worker
  • Columbia, MO
National Provider Identifier
1558873174
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2020006107 Issued in MO
Practice address
19 E Walnut St Ste D
Columbia, MO 65203-4505
Phone
(573) 203-5007
Fax
(573) 777-1131
NPI assigned
Nov 5, 2017
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2020006107 MO Primary

Addresses

Primary practice location

19 E Walnut St Ste D
Columbia, MO 65203-4505

Mailing address

19 E Walnut St Ste D
Columbia, MO 65203-4505
Phone (573) 203-5007

Other names 1

  • Clare Newfield Fielding Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200521002936 MO Practitioner - Clinical Social Worker 6103247424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Washington University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Oak Center for DBT and Counseling Services, LLCGroup PAC ID 5890106090, 4 clinicians

Practice addresses (Care Compare)

19 E Walnut St
Suite D
Columbia, MO 65203-4505
Phone (573) 442-7232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020006107MOMDClinical Social Worker

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1509840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1558873174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E WALNUT ST STE D",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034505",
            "telephone_number": "573-203-5007",
            "fax_number": "573-777-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E WALNUT ST STE D",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034505",
            "telephone_number": "573-203-5007",
            "fax_number": "573-777-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGLE",
        "first_name": "CLARE",
        "middle_name": "FIELDING",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-05",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2020006107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARE",
            "last_name": "FIELDING",
            "middle_name": "NEWFIELD",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.