DETZA ERICKA VAN BOGAERT LMSW NPI 1851716757

NPI Information

  • NPI: 1851716757
  • Provider Name: DETZA ERICKA VAN BOGAERT, LMSW
  • Classification: Social Worker - 1041S0200X
  • Specialization: School
  • Entity Type: Individual
  • Address: 2929 E THOMAS RD
    PHOENIX, AZ
    ZIP 85016
  • Phone: (602) 470-5043

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NPI Details

Detza Ericka Van Bogaert, LMSW is a school social worker in Phoenix, AZ. Detza Ericka Van Bogaert, LMSW NPI is 1851716757. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2929 E THOMAS RD
PHOENIX, AZ
ZIP 85016-034
Phone: (602) 470-5043
Fax: (602) 470-5064

The enumeration date for this NPI number is 2/28/2014 and was last updated on 2/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041S0200XSocial WorkerSchoolLMSW-13670ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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