DETZA ERICKA VAN BOGAERT


Address: 2929 E Thomas Rd, Phoenix, AZ 85016-8034
Phone: 6024705043

DETZA ERICKA VAN BOGAERT (NPI# 1851716757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851716757
Entity Type Individual
Full Name DETZA ERICKA VAN BOGAERT
Other Name DETZA TOBAR
Credential LMSW
Practice Address 2929 E Thomas Rd
Phoenix
AZ 85016-8034
Practice Telephone 6024705043
Practice Fax Number 6024705064
Mailing Telephone 6024705043
Mailing Fax Number 6024705064
Enumeration Date 2014-02-28
Last Update Date 2014-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
LMSW-13670 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 2929 E THOMAS RD
City PHOENIX
State AZ
Zip Code 85016-8034

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871590216 Chandrakant B. Patel Anesthesiology 2929 E Thomas Rd, Phoenix, AZ 85016-8034 2005-06-30
1093321267 Tyler L. Cobb Physician Assistant 2929 E Thomas Rd, Phoenix, AZ 85016-8034 2020-09-22
1760005862 Melissa Meyer Nurse Practitioner 2929 E Thomas Rd, Phoenix, AZ 85016-8034 2020-05-22
1649828070 Andrea Harris Physician Assistant 2929 E Thomas Rd, Phoenix, AZ 85016-8034 2019-08-28
1215400478 Georgina Amaya Nurse Practitioner 2929 E Thomas Rd, Phoenix, AZ 85016-8034 2019-01-09
1275009912 Alexis Sotis Physician Assistant 2929 E Thomas Rd, Phoenix, AZ 85016-8034 2018-10-20
1831637297 Megan Nicole Aros-o'malley Psychologist 2929 E Thomas Rd, Phoenix, AZ 85016-8034 2017-02-06
1497290167 Daniel Jared Mcarthur Registered Nurse 2929 E Thomas Rd, Phoenix, AZ 85016-8034 2017-01-04
1215485420 Alisha Michelle Crabtree Physician Assistant 2929 E Thomas Rd, Phoenix, AZ 85016-8034 2016-09-15
1932575883 Jodie Mokihana Kaalekahi Nurse Practitioner 2929 E Thomas Rd, Phoenix, AZ 85016 2015-08-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992705 Heatheranne Baker-oldfield Counselor 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 2020-11-06
1780215681 Sip Home Systems - Mesa LLC Home Health 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 2020-01-29
1760945588 Wei Wei Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 2019-04-09
1942765623 Grace Hatfield Dietitian, Registered Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 2019-02-06
1861977027 Dawn Yvette Lima Occupational Therapy Assistant 3128 E Cheery Ln, Phoenix, AZ 85016 2018-10-03
1720583685 Kristin Pauline Hicklin Registered Nurse 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 2018-03-24
1588181622 Taness Eyre Billington Pharmacist 1625 E. Camelback Rd., Phoenix, AZ 85016 2017-08-29
1093239048 Emma Ross Psychologist 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 2017-08-01
1609396985 Mohammed Waseemuddin Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 2017-06-27
1144777632 Amanda Mazerall Occupational Therapist 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 2016-09-01
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Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326251919 Nicolle Therese Habeger Social Worker 804 N. 18th Street, Phoenix, AZ 85006 2007-05-08
1912128745 Timothy George Spence Social Worker 735 East Fillmore, Phoenix, AZ 85006 2007-05-01
1285855072 Regina A Degraw Social Worker 2301 West Thomas Road, Phoenix, AZ 85015 2007-05-01
1730211517 Sandra Lynn Irwin Social Worker 7502 N 39th Ave, Phoenix, AZ 85051-6417 2007-03-09
1689700320 Mary Vargas Lopez Social Worker 2920 N 34th Dr, Phoenix, AZ 85017-5250 2007-02-26
1659406841 Florence Anne Simcoe Perry Social Worker 2920 North 34th Drive, Phoenix, AZ 85017 2007-02-21
1811355480 Wendy Lieberman Social Worker 1102 W Highland Ave, Phoenix, AZ 85013-2470 2016-02-10
1295159069 Randi Renee Cooper Social Worker 2929 E Thomas Rd, Phoenix, AZ 85016-8034 2014-02-13
1710300066 Nora Elizabeth O'connell Social Worker 2929 E Thomas Rd, Phoenix, AZ 85016-8034 2014-01-22
1750615902 Silvia Mora Social Worker 4229 N 16th St, Phoenix, AZ 85016-5318 2009-09-21
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Competitor

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City PHOENIX
Zip Code 85016

Improve Information

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Dataset Information

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.

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