Individual provider Active NPI

Paula Bosler, LCSW

  • Clinical Social Worker
  • Woodland, CA
National Provider Identifier
1083708572
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS16770 Issued in CA
Practice address
433 2ND St Ste 101
Woodland, CA 95695-4065
Phone
(530) 758-3738
Fax
(530) 756-0227
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS16770 CA Primary

Addresses

Primary practice location

433 2ND St Ste 101
Woodland, CA 95695-4065

Mailing address

1411 W Covell Blvd # 106-167
Davis, CA 95616-5934
Phone (530) 758-3738

Other identifiers 1

IdentifierTypeStateIssuer
CSW167700MedicaidCA

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

State licenses

LicenseStateTypeSpecialty
LCS16770CAMDClinical Social Worker
16770CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083708572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W COVELL BLVD # 106-167",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956165934",
            "telephone_number": "530-758-3738",
            "fax_number": "530-756-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 2ND ST STE 101",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956954065",
            "telephone_number": "530-758-3738",
            "fax_number": "530-756-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSLER",
        "first_name": "PAULA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CSW167700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.