Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bosseba Kong, LCS16696

Individual provider Clinical Social Worker · NPI 1336278993

Bosseba Kong, LCS16696 is a Clinical Social Worker in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

1100 Kansas Ave Ste A
Modesto, CA 95351-1596
Phone: (209) 558-7475
Fax: (209) 558-4042
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1041C0700X (CA)

Record details

NPI number1336278993
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCS16696
Sole proprietorYes
NPI enumeratedMarch 2, 2007
Last updated in NPPESJuly 8, 2007

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