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

Mr. Kumalo Akiim Bogan

Individual provider Clinical Social Worker · NPI 1861791519

Mr. Kumalo Akiim Bogan is a Clinical Social Worker in Fort Sam Houston, Texas. Qualified in 2010, 16 years ago. Licensed in Texas.

Years since qualifying
16
Licensed in
TX
In the registry since
2011
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Practice location Address checks out

3851 Roger Brooke Dr Mche-Qd (cred)
Fort Sam Houston, TX 78234-4501
Phone: (210) 916-2460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 101092301 (TX)

Record details

NPI number1861791519
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2011
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Fort Sam Houston