Individual provider · Type 1 NPI

Nicole Bogue, LCSW

Clinical Social Worker · Ormond Beach, FL

NPI number 1902590847 Active

Practice location

285 Clyde Morris Blvd Ste 300
Ormond Beach, FL 32174-8144

Call (386) 262-1627 Map

Fax (386) 262-1628

Mailing address

4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW21350 (FL)

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 1902590847

Nicole Bogue, LCSW's National Provider Identifier is 1902590847, issued on Jun 5, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ormond Beach, FL. The record was last updated on Jun 5, 2023.