MRS. JAN C BOGGS LCSW
NPI 1104994318
Social Worker - Clinical in Fort Wayne, IN

Active since December 04, 2006
4656 W JEFFERSON BLVD, SUITE 285, FORT WAYNE, IN 46804(260) 422-9372(260) 422-0843 Get Directions Write a Review

NPPES record last updated: February 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jan C Boggs Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JAN C BOGGS LCSW (NPI 1104994318) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (34000520A) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1104994318
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JAN C BOGGSCredential: LCSW
Location Address4656 W JEFFERSON BLVD, SUITE 285Fort Wayne, IN 46804-6857
Mailing Address20 Grove Park DrColumbia City, IN 46725-1812 · (260) 249-8429 · Fax (260) 244-1983
Fax(260) 422-0843
Sole ProprietorNo
Enumeration DateDecember 4, 2006
Last NPPES UpdateFebruary 5, 2018
NPI 1104994318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IN · 34000520A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4656 W JEFFERSON BLVD, Fort Wayne, IN 46804

Other Identifiers 1

Medicaid200532500AIN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
4656 W JEFFERSON BLVD, SUITE 125
FORT WAYNE, IN 46804
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Counselor (Professional)
4656 W JEFFERSON BLVD, 285
FORT WAYNE, IN 46804
Clinic/Center (Adolescent and Children Mental Health)
4656 W JEFFERSON BLVD, STE. 135
FORT WAYNE, IN 46804
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jan Boggs's NPI number?

The NPI number for Jan Boggs is 1104994318. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Jan Boggs located?

Jan Boggs practices at 4656 W Jefferson Blvd Suite 285, Fort Wayne, IN 46804. The listed phone number is (260) 422-9372.

What is Jan Boggs's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jan Boggs was last updated on February 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.