MEDICARE: CONNIE BOGARD THOMAS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	59996	TX

General Provider Information

NPI Number	:	1215408596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONNIE BOGARD THOMAS LCSW

Provider Business Mailing Address
First Line	:	3400 BRATTON RIDGE XING
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78728-3674
Country	:	US
Telephone Number	:	512-773-1692
Fax Number	:

Provider Business Practice Location Address
First Line	:	2906 SAN GABRIEL ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-3533
Country	:	US
Telephone Number	:	512-548-3953
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2018
Last Update Date	:	09/03/2020

Similar Medicare Providers

1154602209 — ARIELLE FRANK LARSON LCSW
Practice Location Address:

2906 SAN GABRIEL ST
AUSTIN, TX
78705-3533

Practice Phone: 512-662-1588
Practice Fax: 512-271-6365

1942782933 — DEVIN MICHAEL GILES LCSW
Practice Location Address:

2906 SAN GABRIEL ST
AUSTIN, TX
78705-3533

Practice Phone: 737-241-8135
Practice Fax:

1033735691 — SARA BRATCHER LCSW
Practice Location Address:

2906 SAN GABRIEL ST
AUSTIN, TX
78705-3533

Practice Phone: 512-662-1588
Practice Fax:

1295800027 — NINA SHAMAYEVA RPH
Practice Location Address:

6701 AUSTIN ST
FOREST HILLS, NY
11375-3533

Practice Phone: 718-459-0090
Practice Fax:

1790638120 — TORYN STEED PT, DPT
Practice Location Address:

900 W 38TH ST STE 300
AUSTIN, TX
78705-1130

Practice Phone: 512-450-1300
Practice Fax:

1053111773 — JAYMIE SARAH BECKER
Practice Location Address:

3300 N INTERSTATE 35 STE 700
AUSTIN, TX
78705-1874

Practice Phone: 346-401-0518
Practice Fax:

Directions to “ CONNIE BOGARD THOMAS LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.