TIFFANY FAWN BOGGS
NPI 1922822105
Case Manager/Care Coordinator in Clearlake Oaks, CA

Active since November 13, 2024
14715 E. HWY 20, 14725 CATHOLIC CHURCH RD., CLEARLAKE OAKS, CA 95423(707) 998-1800(707) 998-0122 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 24, 2026, Mar 19, 2026, Nov 13, 2024 (3 updates tracked since 2024).

About Tiffany Fawn Boggs NPPES

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

TIFFANY FAWN BOGGS (NPI 1922822105) is an individual case manager/care coordinator provider in Clearlake Oaks, California, licensed in California (MPSS-QASLME) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1922822105
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameTIFFANY FAWN BOGGS
Location Address14715 E. HWY 20, 14725 CATHOLIC CHURCH RD.Clearlake Oaks, CA 95423-9542
Mailing AddressPo Box 316Lucerne, CA 95458-0316 · (707) 998-1800
Fax(707) 998-0122
Sole ProprietorNo
Enumeration DateNovember 13, 2024
Last NPPES UpdateMarch 24, 20263 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
NPI 1922822105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License Licensed in CA · MPSS-QASLME
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedPeer SpecialistTaxonomy 175T00000X · License MPSS-QASLME (CA)
14715 E. HWY 20, Clearlake Oaks, CA 95423

Other Providers at the Same Location NPPES 2

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

Counselor (Addiction (Substance Use Disorder))
14715 E. HWY 20
CLEARLAKE OAKS, CA 95423
Case Manager/Care Coordinator
14715 E. HWY 20
CLEARLAKE OAKS, CA 95423

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922822105, enumerated as an "individual" on November 13, 2024.

The provider is located at 14715 E. HWY 20 14725 CATHOLIC CHURCH RD. CLEARLAKE OAKS, CA 95423 and the phone number is (707) 998-1800.

Case Manager/Care Coordinator with taxonomy code 171M00000X.