Individual
JILL MICHELLE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
321 E MAIN ST, MOREHEAD, KY 40351-1671
(606) 784-4161
(606) 783-9952
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3778
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350188
ANTHEM BCBS
—
01
—
11726244
CAQH
—
01
—
2514479
UNITED HEALTHCARE
—
01
—
610661987006
TRICARE-CHAMPUS
—
05
—
7100281140
—
KY
Enumeration date
09/27/2006
Last updated
08/01/2024
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