Zakiyyah Danielle Bosket

Individual provider Active NPI Case Manager/Care Coordinator · Pendleton, SC

NPI 1164071890 · NPPES record last updated Sep 5, 2019

Key facts

NPI
1164071890
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
401 Greenville St Apt C4
Pendleton, SC 29670-1430
Phone
(864) 328-5739
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

401 Greenville St Apt C4
Pendleton, SC 29670-1430

Mailing address

401 Greenville St Apt C4
Pendleton, SC 29670-1430
Phone (864) 328-5739

Other providers in Pendleton, SC

All providers in Pendleton, SC · Case Manager/Care Coordinator in South Carolina

Sources for this page

Verify at the official NPI Registry.