National Provider Identifier
Shannon Bogumil
Shannon Bogumil is listed in the NPPES registry with a primary specialty of School Social Worker in Rochester, NY and a listed phone number of (585) 262-8100.
Profile Overview
- NPI
- 1922873496
- Provider Type
- Individual
- Primary Specialty
- School Social Worker
- Enumeration Date
- November 15, 2023
- Last Updated
- November 15, 2023
Practice Location
- 131 W Broad St
- Rochester, NY 14614-1103
Phone: (585) 262-8100
Mailing Address
- 193 Alpine Knl
- Fairport, NY 14450-1765
Specialties
- School Social Worker (1041S0200X)
Full Record
- NPI
- 1922873496
- Entity Type
- Individual
- Last Name
- Bogumil
- First Name
- Shannon
- Mailing Street Address
- 193 Alpine Knl
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1765
- Mailing Country
- US
- Practice Street Address
- 131 W Broad St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14614-1103
- Practice Country
- US
- Practice Phone
- (585) 262-8100
- Enumeration Date
- November 15, 2023
- Last Updated
- November 15, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 15, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Social Worker (1041S0200X)