Kerrie Bogaz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006987 Issued in VA

Practice address

431 Walton Park Rd
Midlothian, VA 23114-3032

Phone

(804) 437-2599

NPI assigned

Feb 2, 2009

Last updated

Sep 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Momentum Counseling and Wellness LLC

  • Clinical Social Worker
  • Midlothian, VA
  • NPI 1689122012
  NPD (past) Authorized official
• Hanover Counseling Associates, PLLC

  • Clinical Social Worker
  • Mechanicsville, VA
  • NPI 1114206778
  NPD

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1568600377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 WALTON PARK RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143032",
            "telephone_number": "804-437-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 WALTON PARK RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143032",
            "telephone_number": "804-437-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAZ",
        "first_name": "KERRIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4945255",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliana Bock, O.D.
• Dianna M Boclair, P.T., DPT, GCS
• Amy Coyle Bodman
• Logan Taylor Boe, RBT
• Taylor Boehm, NONE
• Andrew Miller Ibrahim Bogle, M.D.
• Amy Nicole Bohannon
• Josephine S Bohannon, MD
• Rebekah Bolden, DPT
• Bon Secours

• Clinical Social Worker in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.