Individual provider · Type 1 NPI

Tiffany Fawn Boggs

Case Manager/Care Coordinator · Clearlake Oaks, CA

NPI number 1922822105 Active

Practice location

14715 E. Hwy 20, 14725 Catholic Church Rd.
Clearlake Oaks, CA 95423-9542

Fax (707) 998-0122

Mailing address

PO Box 316
Lucerne, CA 95458-0316

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XMPSS-QASLME (CA)
Community Health Worker 172V00000XNone listed
Case Manager/Care Coordinator Primary 171M00000XMPSS-QASLME (CA)

Case Manager/Care Coordinator: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-e…

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About NPI 1922822105

Tiffany Fawn Boggs's National Provider Identifier is 1922822105, issued on Nov 13, 2024. The primary taxonomy on file is Case Manager/Care Coordinator (171M00000X), and the practice location is in Clearlake Oaks, CA. The record was last updated on Mar 24, 2026.