Laura B Boley, LMSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

4955G Issued in AL

Practice address

208 Quail Ridge Rd
Elmore, AL 36025-1006

Phone

(334) 290-1807

NPI assigned

Jun 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family & Therapeutic Services

  • Community/Behavioral Health Agency
  • Elmore, AL
  • NPI 1306199682
  NPD (past)
• Grace Therapeutic & Counseling Services Inc

  • Psychologist
  • Anniston, AL
  • NPI 1700332657
  NPD (past)

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1093330664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 WATERFORD PL",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441048",
            "telephone_number": "256-622-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 QUAIL RIDGE RD",
            "city": "ELMORE",
            "state": "AL",
            "postal_code": "360251006",
            "telephone_number": "334-290-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEY",
        "first_name": "LAURA",
        "middle_name": "B",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "AL",
            "license": "4955G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306199682",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "familytherapeuticservices@elmore.rr.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "208 Quail Ridge Rd",
            "city": "Elmore",
            "state": "AL",
            "country_code": "US",
            "postal_code": "360251006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brandi D Barnes, FNP-C
• Misty Lou Bell, PTA
• Charity Bibb, OTR/L
• Bloom Therapy Services, LLC
• Arailia Boddie
• Jessica Lynn Christianson, COTA/L
• Corizon Healthcare
• Kiki Nicole Cox, LPTA
• Lenore Marie Deramus
• Miranda Desmond

• All providers in Elmore, AL
• School Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.