MS. SUSAN LOUISE BOGUE (NPI# 1720193832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720193832 |
| Entity Type | Individual |
| Full Name | MS. SUSAN LOUISE BOGUE |
| Credential | L.C.S.W. |
| Practice Address |
920 W Prairie Dr Ste F Sycamore IL 60178-3123 |
| Mailing Address |
815 S 1st St Dekalb IL 60115-4121 |
| Practice Telephone | 8158990501 |
| Practice Fax Number | 8158992098 |
| Mailing Telephone | 8155623801 |
| Mailing Fax Number | 8155624481 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2013-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149002479 | IL | Behavioral Health & Social Service Providers |
| Street Address |
920 W PRAIRIE DR STE F |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| 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 |
|---|---|---|---|---|
| 1790022085 | Jolene F. Curtis | Social Worker | 2225 Gateway Dr, Suite B, Sycamore, IL 60178-3139 | 2013-01-07 |
| 1629349063 | Erin Mitchell | Social Worker | 240 Edward St, Sycamore, IL 60178-2155 | 2012-01-17 |
| 1386867570 | Helen Jean Maurer | Social Worker | 823 Hillcrest Ave, Sycamore, IL 60178-2024 | 2007-04-10 |
| 1730234873 | Philip A. Wells | Social Worker | 407 W State St, Suite 1a, Sycamore, IL 60178-1455 | 2007-01-25 |
| 1881606028 | Elizabeth Jean Cunningham | Social Worker | 1205 Dekalb Ave, Sycamore, IL 60178 | 2006-08-13 |
| 1295106680 | Mckenzie Wilkins | Social Worker | 2540 Hauser Ross Dr, Suite 225, Sycamore, IL 60178-3148 | 2015-10-12 |
| 1568899847 | Jessica Louise Joy | Social Worker | 760 Foxpointe Dr, Sycamore, IL 60178-3221 | 2013-10-02 |
| 1275978728 | Brittany Pagan-male | Social Worker | 2128 Midlands Ct, Suite 107, Sycamore, IL 60178-3199 | 2013-05-09 |
| 1619223591 | Nicole Ashley Jazo | Social Worker | 760 Foxpointe Dr, Sycamore, IL 60178-3221 | 2012-07-30 |
| 1003175134 | Sharon Lynn Carani | Social Worker | 920 W Prairie Dr, Sycamore, IL 60178-3123 | 2012-05-09 |
| Find all providers in SYCAMORE | ||||
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| 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.