Elizabeth Michelle Bostic, LCSW
Individual provider Active NPI Clinical Social Worker · Danville, VA
NPI 1013092345 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1013092345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904002039 (VA)
- Practice address
- 1611 Old Mayfield Rd
Danville, VA 24541-7511 - Phone
- (434) 799-3318
- Fax
- (434) 799-3318
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904002039 | VA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904002039 | VA | Yes |
Addresses
Primary practice location
1611 Old Mayfield Rd
Danville, VA 24541-7511
Mailing address
1611 Old Mayfield Rd
Danville, VA 24541-7511
Phone (434) 799-3318
Other providers in Danville, VA
- Anna Moses Bomar
- John Booker IV
- Lisa Boone-Kennerly
- Deirdre A. Boro
- Boshra G Zakhary MD PC
- Victoria Annette Bowles
- Lavon Bowman
- Lisa Bowser
- Elgin Bradley
- Nancy Vernon Bradsher
All providers in Danville, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.