Provider Demographics
NPI:1487228458
Name:BOGITS, ABIGAIL SANDRA (MSW, LSW)
Entity type:Individual
Prefix:MISS
First Name:ABIGAIL
Middle Name:SANDRA
Last Name:BOGITS
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 E STATE ST UNIT 503
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-4386
Mailing Address - Country:US
Mailing Address - Phone:734-355-7964
Mailing Address - Fax:
Practice Address - Street 1:438 E WILSON BRIDGE RD STE 203
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2382
Practice Address - Country:US
Practice Address - Phone:614-350-0980
Practice Address - Fax:614-434-6955
Is Sole Proprietor?:No
Enumeration Date:2021-05-14
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2410992104100000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker