Emily M Boston, LISW-S LICDC-CS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2203911 Issued in OH

Practice address

6408 Longfellow Rd
Sylvania, OH 43560-3335

Phone

(419) 708-0841

NPI assigned

Dec 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Toledo Counseling & Mental Health LLC

  • Mental Health Counselor
  • Toledo, OH
  • NPI 1174007934

  Clinical

  Medicare reassignment NPD
• Finding You Psychotherapy & Yoga LLC

  • Clinical Social Worker
  • Sylvania, OH
  • NPI 1962359547
  NPD Authorized official
• Choices Behavioral Health Care

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1497053664
  NPD (past)
• Choices Behavioral Health Care

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1851729800
  NPD (past)
• Empowered for Excellence Behavioral Health Ohio

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1336538206
  NPD (past)
• One Me to Be

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1588246235

  Addiction (Substance Use Disorder)

  NPD (past)
• Racing for Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Holland, OH
  • NPI 1265023592
  NPD (past)
• Racing for Recovery

  • Community/Behavioral Health Agency
  • Holland, OH
  • NPI 1528411097

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1033625694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 LONGFELLOW RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603335",
            "telephone_number": "419-708-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 LONGFELLOW RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603335",
            "telephone_number": "419-708-0841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6423 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435601431",
            "country_code": "US",
            "telephone_number": "419-708-0841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5151 Monroe St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436233467",
            "country_code": "US",
            "telephone_number": "419-865-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "EMILY",
        "middle_name": "M",
        "credential": "LISW-S LICDC-CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161894",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "vegansoberrunner@gmail.com",
            "affiliation": "N",
            "address_1": "6408 Longfellow Rd",
            "city": "Sylvania",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435603335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meghan Booth
• Alicia Boreman-Menke, LPC/CR
• Kelly Potter Borgman, PT
• Tabitha Bosinger, PA
• Raul Martin Bosio, M.D., M.S.B.S.
• Laurie A Boudreaux, PA-C
• Lauren Graham Bourell, DDS, MD
• Jarin Boyer, RN
• Meganne E. Boyer, R.N.
• Bonnie J Brahaney, CNP

• Clinical Social Worker in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.