Individual provider · Type 1 NPI

Susan Louise Bogue, L.C.S.W.

Clinical Social Worker · Sycamore, IL

NPI number 1720193832 Active

Practice location

920 W Prairie Dr Ste F
Sycamore, IL 60178-3123

Call (815) 899-0501 Map

Fax (815) 899-2098

Mailing address

815 S 1st St
Dekalb, IL 60115-4121

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149002479 (IL)

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 1720193832

Susan Louise Bogue, L.C.S.W.'s National Provider Identifier is 1720193832, issued on Aug 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sycamore, IL. The record was last updated on Jun 28, 2013.