NPI 1033529052

Charissa Bogle, LCSW

Practitioner Clinical Social Worker Johnson City, TN

Practice location

Address: 154 W Springbrook Dr, Johnson City, TN 37604-1758
Phone: (423) 926-1171
Mailing address: 301 Cambridgeshire CT, Johnson City, TN 37615-4683

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 8177 (TN)

Other Social Worker providers in Tennessee →

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 9891 (TN)

Registry record

NPI: 1033529052
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2014
Record last updated: 18 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.