Regan Rae Kamma Boling, LSWAIC, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SC61108110 Issued in WA

Practice address

16521 13TH Ave W Ste 112
Lynnwood, WA 98037-8513

Phone

(260) 450-2143

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Regan Rae Kamma Ferrell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1114521192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 NE 58TH WAY",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337506",
            "telephone_number": "260-450-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16521 13TH AVE W STE 112",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378513",
            "telephone_number": "260-450-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLING",
        "first_name": "REGAN",
        "middle_name": "RAE KAMMA",
        "name_prefix": "Mrs.",
        "credential": "LSWAIC, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC61108110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGAN",
            "last_name": "FERRELL",
            "middle_name": "RAE KAMMA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason A Bohbot
• Cathy Irene Bohnhoff, MSPA, CCC-A
• Karamo Bojang
• Chance A Boley, LMHC
• Morgan Boling, LSWAIC
• Laura Bolton
• Marissa Whitney Bond
• Joseph T Bong, PHARM.D.
• Cinnamon Rose Bonikowski, MASSAGE LICENSE
• Eliana Bonilla

• Social Worker in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.