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

Nicole Bogue, LCSW

Individual provider Clinical Social Worker · NPI 1902590847

Nicole Bogue, LCSW is a Clinical Social Worker in Ormond Beach, Florida. Qualified in 2020, 6 years ago. Practices with Dna Comprehensive Therapy Services LLC, a 437-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

285 Clyde Morris Blvd Ste 300
Ormond Beach, FL 32174-8144
Phone: (386) 262-1627
Fax: (386) 262-1628
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW21350 (FL)

Record details

NPI number1902590847
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 5, 2023
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Dna Comprehensive Therapy Services Llc — 437 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Ormond Beach