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

Tiffany Fawn Boggs

Individual provider Peer Specialist · NPI 1922822105

Tiffany Fawn Boggs is a Peer Specialist in Clearlake Oaks, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
Specialties on file
3

Practice location Address checks out

14715 E Hwy 20 14725 Catholic Church Rd
Clearlake Oaks, CA 95423-9542
Phone: (707) 998-1800
Fax: (707) 998-0122
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence MPSS-QASLME (CA)
Peer Specialist Taxonomy 175T00000X · Licence MPSS-QASLME (CA)
Community Health Worker Taxonomy 172V00000X (CA)

Record details

NPI number1922822105
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 13, 2024
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

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