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

Mrs. Jennifer Lee Bogle, LCSW

Individual provider Clinical Social Worker · NPI 1407314917

Mrs. Jennifer Lee Bogle, LCSW is a Clinical Social Worker in New York, New York. Qualified in 2018, 8 years ago. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1 Gustave Levy Pl
New York, NY 10029
Phone: (212) 731-7930
Fax: (646) 537-8950
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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 094150 (NY)
Social Worker Taxonomy 104100000X · Licence 106028 (NY)

Record details

NPI number1407314917
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 5, 2019
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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