Active NPI
Dalton J Boley, LCSW
- Clinical Social Worker
- Muscle Shoals, AL
National Provider Identifier
1003331968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4823C
- Practice address
- 1800 Beverly Ave
Muscle Shoals, AL 35661-3255 - Phone
- (256) 701-5651
- Fax
- (256) 429-9411
- NPI assigned
- Aug 11, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4823C | AL | Primary |
Addresses
Primary practice location
1800 Beverly Ave
Muscle Shoals, AL 35661-3255
Mailing address
600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 288-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Beverly Ave
Muscle Shoals, AL 35661-3255
Phone (256) 386-1327
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4823C | AL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Behavioral Health, Inc. | Clinical | Current | Accepting new patients |
| Life Stone Group, LLC | Past | Accepting new patients |
Locations
600 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627
1800 Beverly Ave
Muscle Shoals, AL 35661
Phone (256) 320-7475
25850 Main St
Ardmore, TN 38449
Phone (931) 427-4050
Networks
- FL HMO D-SNP
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- TN PPO
- AL HMO
- TN PPO C-SNP
- FL PPO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- MS PPO
- MS PPO C-SNP
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- MS PPO D-SNP
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JEGFCA/Endpoint/JEGFCA
- https://fhir4.healow.com/fhir/r4/JEGFCA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Midvale, UT
- NPI 1871829283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1003331968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 SUN TEMPLE DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357588643",
"telephone_number": "256-288-3333",
"fax_number": "256-288-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 BEVERLY AVE",
"city": "MUSCLE SHOALS",
"state": "AL",
"postal_code": "356613255",
"telephone_number": "256-701-5651",
"fax_number": "256-429-9411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLEY",
"first_name": "DALTON",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-11",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "4823C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muscle Shoals, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.