Individual provider Active NPI

Deborah L Boelte, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1013144864
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005480 Issued in VA
Practice address
9702 Gayton Rd
#181
Richmond, VA 23238-4907
Phone
(804) 741-7500
Fax
(804) 741-7900
NPI assigned
Jun 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904005480 VA Primary

Addresses

Primary practice location

9702 Gayton Rd
#181
Richmond, VA 23238-4907

Mailing address

9702 Gayton Rd
#181
Richmond, VA 23238-4907
Phone (804) 741-7500

Other identifiers 1

IdentifierTypeStateIssuer
0904005480OtherVAVIRGINIA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chapman Senior Care, Inc. Clinical PastSince Apr 9, 2011 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1013144864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9702 GAYTON RD",
            "address_2": "#181",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232384907",
            "telephone_number": "804-741-7500",
            "fax_number": "804-741-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9702 GAYTON RD",
            "address_2": "#181",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232384907",
            "telephone_number": "804-741-7500",
            "fax_number": "804-741-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOELTE",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA MEDICAL LICENSE",
            "identifier": "0904005480",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.