Provider Demographics
NPI:1487696845
Name:BOGDANIS, KARINA (MSW LICSW)
Entity type:Individual
Prefix:MRS
First Name:KARINA
Middle Name:
Last Name:BOGDANIS
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 VANGUARD LN
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106
Mailing Address - Country:US
Mailing Address - Phone:413-250-5791
Mailing Address - Fax:
Practice Address - Street 1:34 VANGUARD LN
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106
Practice Address - Country:US
Practice Address - Phone:413-250-5791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA110217104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
424834OtherMAGELLAN
29535OtherHNE
341566OtherMHN
140110217MA01OtherANTHEM
2083752OtherCIGNA
P08015OtherBCBS
P08015OtherBCBS