DAVID BRECK BOGGIO (NPI# 1407989718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407989718 |
| Entity Type | Individual |
| Full Name | DAVID BRECK BOGGIO |
| Credential | SW |
| Practice Address |
Po Box 3338 Albuquerque NM 87190-3338 |
| Mailing Address |
4717 Hannett Ave Ne Albuquerque NM 87110-5015 |
| Practice Telephone | 5052555099 |
| Mailing Telephone | (505) 514-8695 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2017-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I-4374 | NM | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
Z 8589 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | Z 8589 | 05 |
| Street Address |
PO BOX 3338 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87190-3338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821110735 | Jack Estes | Counselor | 1418 Morningside Dr. Ne, Albuquerque, NM 87190 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952228 | Toshiyuki Shiina | Student in an Organized Health Care Education/Training Program | Unmh Hospital, 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-06 |
| 1215538343 | Victoria Lopez | Behavior Technician | 1015 Pinatubo Pl Nw, Albuquerque, NM 87120-2974 | 2020-11-04 |
| 1790386977 | Gina D Padilla | Home Health | 1307 San Pedro Dr Ne, Albuquerque, NM 87110-6727 | 2020-11-04 |
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1598366080 | Maya Mascarenas | Behavior Technician | 516 Madeira Dr Se Apt 3, Albuquerque, NM 87108-2971 | 2020-11-03 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1831790419 | Alisa Maria Salazar | Behavior Technician | 9610 Arvada Ave Ne, Albuquerque, NM 87112-2912 | 2020-11-02 |
| 1548861065 | Darren Anzures | Behavior Technician | 10004 Benavides Rd Sw, Albuquerque, NM 87121-8126 | 2020-11-02 |
| 1962003517 | Megan Aileen Rafferty | Counselor | 1564 Trujillo Rd. S.w., Albuquerque, NM 87105-2857 | 2020-11-02 |
| 1598366056 | Katherine Imislund-clark, Lpcc | Psychologist | 122 Girard Blvd Se Apt B, Albuquerque, NM 87106-2286 | 2020-11-02 |
| Find all providers in ALBUQUERQUE | ||||
| 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 |
|---|---|---|---|---|
| 1649870346 | Erin Lilly Lcsw LLC | Social Worker | 3321b Candelaria Rd Ne Ste 406, Albuquerque, NM 87107-1908 | 2020-10-30 |
| 1659971919 | Erica Denise Ortiz | Social Worker | 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 | 2020-10-27 |
| 1316545478 | Amy Flinko | Social Worker | 3604 Britt St Ne, Albuquerque, NM 87111-4983 | 2020-10-12 |
| 1558976597 | Skt Counseling LLC | Social Worker | 4620 Hannett Ave Ne, Albuquerque, NM 87110-5014 | 2020-09-15 |
| 1881209948 | Carolyn Marie Peck | Social Worker | 231 Carlisle Blvd Ne, Albuquerque, NM 87106-1348 | 2020-09-14 |
| 1619587839 | Aureaariel Cardiel | Social Worker | 116 Industrial Ave Ne, Albuquerque, NM 87107-2229 | 2020-08-03 |
| 1376153593 | Janette Dejesus | Social Worker | 116 Industrial Ave Ne Ste B, Albuquerque, NM 87107-2229 | 2020-08-03 |
| 1235748096 | Gabrielle Monique Maldonado | Social Worker | 2535 Mervosh Ave Sw, Albuquerque, NM 87105-4821 | 2020-07-28 |
| 1770191033 | Rosemary Laurel Bauman | Social Worker | 1515 Los Jardines Pl Nw, Albuquerque, NM 87104-2317 | 2020-07-22 |
| 1164047841 | Jonathan Wilks, Lcsw, LLC | Social Worker | 4300 Woodrose Rd Nw, Albuquerque, NM 87114-5578 | 2020-06-09 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87190 |
Please comment or provide details below to improve the information on DAVID BRECK BOGGIO.
| 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.