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

Tamara Bogle, LCSW

Individual provider Clinical Social Worker · NPI 1861920415

Tamara Bogle, LCSW is a Clinical Social Worker in Crestview, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017
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

1849 E 1st Ave
Crestview, FL 32539-3109
Phone: (850) 333-9297
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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 SW12202 (FL)

Record details

NPI number1861920415
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 26, 2017
Last updated in NPPESMay 26, 2017
Mailing address1641 Bel Aire Dr, Crestview, FL 32536-3242

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