Individual provider Active NPI

Laurie Boser, MSW, LICSW

  • Clinical Social Worker
  • Pierz, MN
National Provider Identifier
1093926057
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10693 Issued in MN
Practice address
27485 273Rd St
Pierz, MN 56364-1963
Phone
(218) 838-7770
Fax
(320) 277-3060
NPI assigned
May 24, 2007
Last updated
Sep 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 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 10693 MN Primary

Addresses

Primary practice location

27485 273Rd St
Pierz, MN 56364-1963

Mailing address

27485 273Rd St
Pierz, MN 56364-1963
Phone (218) 838-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10693MNMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1093926057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27485 273RD ST",
            "city": "PIERZ",
            "state": "MN",
            "postal_code": "563641963",
            "telephone_number": "218-838-7770",
            "fax_number": "320-277-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27485 273RD ST",
            "city": "PIERZ",
            "state": "MN",
            "postal_code": "563641963",
            "telephone_number": "218-838-7770",
            "fax_number": "320-277-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSER",
        "first_name": "LAURIE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "10693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierz, MN

Sources for this page

Verify at the official NPI Registry.