Individual provider Active NPI

Lashonda Patrice Bostic, MSW, LCSWA

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1114577194
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P022238 Issued in NC
Practice address
9065 Turnbull Rd
Fayetteville, NC 28312-7425
Phone
(472) 242-6649
Fax
(472) 248-0714
NPI assigned
Sep 12, 2019
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 25783 NC
Social Worker 104100000X P022238 NC
Clinical Social Worker 1041C0700X P022238 NC Primary

Addresses

Primary practice location

9065 Turnbull Rd
Fayetteville, NC 28312-7425

Mailing address

6569 Honeysuckle Dr
Fayetteville, NC 28304-4615
Phone (472) 242-6649

Other practice location 1

6569 Honeysuckle Dr
Fayetteville, NC 28304-4615
Phone (472) 242-6649

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.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5265 Pittan Grove Church Rd
Raeford, NC 28376-7977

6569 Honeysuckle Dr
Fayetteville, NC 28304-4615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P013473NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1114577194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6569 HONEYSUCKLE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044615",
            "telephone_number": "472-242-6649",
            "fax_number": "472-248-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9065 TURNBULL RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283127425",
            "telephone_number": "472-242-6649",
            "fax_number": "472-248-0714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6569 Honeysuckle Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044615",
            "country_code": "US",
            "telephone_number": "472-242-6649",
            "fax_number": "472-248-0714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSTIC",
        "first_name": "LASHONDA",
        "middle_name": "PATRICE",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "25783",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P022238",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P022238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.