Monique Van Bostic, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05554900 Issued in NJ

Practice address

25 Pompton Ave Ste 304
Verona, NJ 07044-2939

Phone

(973) 910-0518

NPI assigned

Dec 27, 2017

Last updated

Oct 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bostic Solutions LLC

  • Adult Mental Health Clinic/Center
  • Verona, NJ
  • NPI 1154922391
  Authorized official Same address or phone

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1073029138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 S ORANGE AVE # 518",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071031342",
            "telephone_number": "973-910-0518",
            "fax_number": "844-971-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 POMPTON AVE STE 304",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442939",
            "telephone_number": "973-910-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTIC",
        "first_name": "MONIQUE",
        "middle_name": "VAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-27",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC05554900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05554900",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Bizzarro, LCSW, LMFT
• Joey A Blanchard, BCBA
• Blue Terrier LLC
• Ira L. Bornstein, RPH
• Bostic Solutions LLC
• Andrew Scott Boxer, M.D.
• Bradley T Doolen OD LLC
• Bridge for Inclusion
• Justin Brown, MD
• Charmaine Bryant

• Clinical Social Worker in Verona, NJ
• Providers in Verona, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.