KBOGGSPC (NPI# 1386085280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386085280 |
| Entity Type | Organization |
| Organization Name | KBOGGSPC |
| Practice Address |
5435 Sugarloaf Pkwy Suite 1104 Lawrenceville GA 30043 |
| Mailing Address |
4602 Sequoia Cir Oakwood GA 30566-2129 |
| Practice Telephone | 6783586200 |
| Mailing Telephone | 6783586200 |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |
| Authorized Official Name | KATHERINE BOGGS (PRESIDENT) |
| Authorized Official Telephone | 6783586200 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW001288 | GA | Behavioral Health & Social Service Providers |
| Street Address |
5435 SUGARLOAF PKWY SUITE 1104 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174530703 | Rochelle Kallish | Counselor | 5435 Sugarloaf Pkwy, Suite 1103, Lawrenceville, GA 30043-7831 | 2006-08-03 |
| 1194100750 | Bates & Associates, Inc. | In Home Supportive Care | 5435 Sugarloaf Pkwy, Suite 2203, Lawrenceville, GA 30043-7831 | 2015-07-24 |
| 1275808487 | James L. Gonzales Counseling & Psychological Services PC | Clinic/Center | 5435 Sugarloaf Pkwy, Suite 1103, Lawrenceville, GA 30043-5700 | 2012-03-21 |
| 1104190644 | Jeffrey H. Flatow, M.d., LLC | Clinic/Center | 5435 Sugarloaf Pkwy, Suite 1104, Lawrenceville, GA 30043-7831 | 2012-03-01 |
| 1316210412 | Ximena Helm | Counselor | 5435 Sugarloaf Pkwy, Suite 1103, Lawrenceville, GA 30043-7831 | 2012-02-20 |
| 1578769899 | Pamela E, Flatow, Lcsw, LLC | Social Worker | 5435 Sugarloaf Pkwy, Suite 1104, Lawrenceville, GA 30043-7831 | 2007-06-24 |
| 1033276613 | Katherine H Boggs | Counselor | 5435 Sugarloaf Pkwy, Lawrenceville, GA 30043-7831 | 2007-01-02 |
| 1841375656 | Pamela Ellen Flatow | Social Worker | 5435 Sugarloaf Pkwy, Suite 1104, Lawrenceville, GA 30043-7831 | 2006-10-27 |
| 1871607705 | James L Gonzales | Psychologist | 5435 Sugarloaf Pkwy, Suite 1103, Lawrenceville, GA 30043-7831 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676333 | Christiana Oluwatoyin Sonuga | Social Worker | 699 Clairidge Elm Trl, Lawrenceville, GA 30046-7753 | 2020-10-14 |
| 1093324550 | Tanesha Richards | Social Worker | 3035 Dunlin Lake Way, Lawrenceville, GA 30044-3586 | 2020-07-30 |
| 1457984346 | Karen Starks | Social Worker | 1173 Grassy Oat Ln, Lawrenceville, GA 30045-5496 | 2020-02-19 |
| 1932741634 | Tonia Mechelle Dalton | Social Worker | 1980 Bethwick Ct, Lawrenceville, GA 30044-6105 | 2019-10-14 |
| 1689224404 | Life Affirming Counseling Services LLC | Social Worker | 1585 Old Norcross Rd Ste B, Lawrenceville, GA 30046-4055 | 2019-09-13 |
| 1730662727 | Kyeda L King | Social Worker | 1405 Little Hampton Dr, Lawrenceville, GA 30045-3553 | 2018-09-14 |
| 1184107831 | Melanie Kim Proctor | Social Worker | 325 Merritt Dr, Lawrenceville, GA 30044-4597 | 2018-09-10 |
| 1083194369 | Brianna Lloyd | Social Worker | 1504 Overview Cir, Lawrenceville, GA 30044-6259 | 2018-08-16 |
| 1528512936 | Maxine Carelock | Social Worker | 1960 Hollywood Dr, Lawrenceville, GA 30044-3813 | 2016-08-15 |
| 1457727190 | Andrea Moody | Social Worker | 743 Winer Industrial Way, Lawrenceville, GA 30046-4348 | 2015-08-17 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on KBOGGSPC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.