Individual
BARBARA BOGLEY
Active
Individual
BARBARA BOGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12383
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000395600
—
MD
01
—
2159055
CIGNA BEHAVIORAL HEALTH
MD
01
—
645670-03
BCBS
MD
01
—
PHCS 9383229
PHCS
MD
Enumeration date
10/06/2006
Last updated
07/09/2007
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