Individual provider · Type 1 NPI

Charissa Bogle, LCSW

Clinical Social Worker · Johnson City, TN

NPI number 1033529052 Active

Practice location

154 W Springbrook Dr
Johnson City, TN 37604-1758

Mailing address

301 Cambridgeshire Ct
Johnson City, TN 37615-4683

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X9891 (TN)
Clinical Social Worker Primary 1041C0700X8177 (TN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1033529052

Charissa Bogle, LCSW's National Provider Identifier is 1033529052, issued on Apr 29, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Johnson City, TN. The record was last updated on Mar 18, 2024.