Elaina A Bogan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007503 Issued in NC

Practice address

2901 N Herritage St
Kinston, NC 28501-1581

Phone

(252) 233-2383

Fax

(252) 523-3148

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

West Virginia University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Easter Seals Ucp North Carolina and Virginia, Inc.Group PAC ID 7618161407, 49 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1306167713
  Medicare reassignment Care Compare group NPD
• Port Health Services

  • Counselor
  • Greenville, NC
  • NPI 1497075618
  Medicare reassignment NPD
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Pharmacy
  • New Bern, NC
  • NPI 1013769629
  NPD
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1770335382
  NPD
• Port Health Services

  • Community/Behavioral Health Agency
  • Whiteville, NC
  • NPI 1174005789
  NPD
• Port Health Services

  • Counselor
  • Kinston, NC
  • NPI 1720145535
  NPD
• Eastpointe Human Services

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1306058524
  NPD (past)
• Region Ten Community Community Services Board

  • Community/Behavioral Health Agency
  • Charlottesville, VA
  • NPI 1942270699
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1942394077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SAPPHIRE CT STE 110",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278349079",
            "telephone_number": "252-830-7561",
            "fax_number": "252-413-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 N HERRITAGE ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011581",
            "telephone_number": "252-233-2383",
            "fax_number": "252-523-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAN",
        "first_name": "ELAINA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945018",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of North Carolina, Inc.
• William Robert Bizzell, RPH
• Marc Bjurlin, DO
• Jennifer Collins Bland
• Blueprint Futures
• Maryna Borodulina, FNP-BC
• Kerry Borrego
• Tonya Bost, BS, QP
• Angel Bowden, AGNP
• Lauren Michele Bowman, MS, LCMHCA

• Clinical Social Worker in Kinston, NC
• Providers in Kinston, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.