NICOLE BOGUE LCSW
NPI 1902590847
Social Worker - Clinical in Ormond Beach, FL

Q: What is Nicole Bogue's NPI number?

The NPI number for Nicole Bogue is 1902590847. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Q: What is Nicole Bogue's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Bogue was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 05, 2023PECOS EnrolledAccepts Medicare Assignment

285 CLYDE MORRIS BLVD STE 300, ORMOND BEACH, FL 32174(386) 262-1627(386) 262-1628 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Nicole Bogue Lcsw NPPES

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

NICOLE BOGUE LCSW (NPI 1902590847) is an individual clinical provider in Ormond Beach, Florida, licensed in Florida (SW21350) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1902590847

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNICOLE BOGUECredential: LCSW

Location Address285 CLYDE MORRIS BLVD STE 300Ormond Beach, FL 32174-8144

Mailing Address4310 Metro Pkwy Ste 205Fort Myers, FL 33916-9416 · (239) 236-8784 · Fax (239) 790-2624

Phone(386) 262-1627

Fax(386) 262-1628

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJune 5, 2023

NPPES CertifiedJune 5, 2023

✔ NPI 1902590847 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 FL · SW21350

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.

285 CLYDE MORRIS BLVD STE 300, Ormond Beach, FL 32174

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Bogue Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123473998

PECOS Enrollment IDI20231013002352

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Bogue reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lehigh Acres Bg Opco LLC

186 mi

Assisted Living Facility

1251 BUSINESS WAY
Lehigh Acres, FL 33936

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Dna Comprehensive Therapy Services LLC
618 clinicians in this Medicare group

NPI 1760939813 (239) 368-2500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32174 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $171.84

Typical copayment $0.00 (range $14.00 – $42.96)

Most-billed visit code NA

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

MS. TANYA ALLEN LCSW

Social Worker (Clinical)