Organization Active NPI

Associates for Family Enrichment, Inc

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1174699334
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ASSOCIATES FOR FAMILY ENRICHMENT, INC
Practice address
3406 Boone TRL
Fayetteville, NC 28306-2138
Phone
(910) 829-0443
Fax
(910) 829-0446
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Barbara A Bosey, LCSW,ACSW,MSSWNPI 1972630002
Title
Clinical Social Worker
Phone
(910) 829-0443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X NC Primary

Addresses

Primary practice location

3406 Boone TRL
Fayetteville, NC 28306-2138

Mailing address

3406 Boone TRL
Fayetteville, NC 28306-2138
Phone (910) 829-0443

Other identifiers 2

IdentifierTypeStateIssuer
5611923162OtherNCPROV TAX ID
6003803MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174699334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 BOONE TRL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062138",
            "telephone_number": "910-829-0443",
            "fax_number": "910-829-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 BOONE TRL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062138",
            "telephone_number": "910-829-0443",
            "fax_number": "910-829-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES FOR FAMILY ENRICHMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOSEY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "910-829-0443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW,ACSW,MSSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROV TAX ID",
            "identifier": "5611923162",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003803",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.