Anna Boone, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-11436 Issued in AZ

Practice address

Highway 163 BLDG. Ka-2010
Kayenta, AZ 86033-0368

Phone

(928) 697-4185

Fax

(928) 697-4189

NPI assigned

Oct 9, 2007

Last updated

Oct 9, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kayenta Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kayenta, AZ
  • NPI 1780878801
  Authorized official Same address or phone

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1164610879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HIGHWAY 163 BLDG. KA-2010",
            "address_2": "P.O. BOX 368",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "860330368",
            "telephone_number": "928-697-4185",
            "fax_number": "928-697-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 163 BLDG. KA-2010",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "860330368",
            "telephone_number": "928-697-4185",
            "fax_number": "928-697-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "ANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-11436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060012",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samundra Bhattarai
• Urina Bitsinnie
• Kimora A Bizahaloni
• Zona Black Calf
• Amanda Leeh Blackhorse, LMSW
• Natasha Dawn Bordeaux
• Amanda Jo Bradley
• Dan Bradley Jr., HT
• Donna Ellen Bradley, RN
• Allison Brandum, RN

• Clinical Social Worker in Kayenta, AZ
• Providers in Kayenta, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.