Active NPI
Evelyn R Bohm, EDD ARNP LCSW
- Clinical Social Worker
- Boca Raton, FL
National Provider Identifier
1194754176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW4836
- Practice address
- 2499 Glades Road
Boca Raton, FL 33431 - Phone
- (561) 395-2133
- Fax
- (561) 392-4512
- NPI assigned
- Jul 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW4836 | FL | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP2075482 | FL |
Addresses
Primary practice location
2499 Glades Road
Boca Raton, FL 33431
Mailing address
5132 Pointe Emerald Lane
Boca Raton, FL 33486-1446
Phone (561) 392-4512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW4836 | FL | MD | Clinical Social Worker |
| ARNP2075482 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1194754176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5132 POINTE EMERALD LANE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334861446",
"telephone_number": "561-392-4512",
"fax_number": "561-392-4512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2499 GLADES ROAD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33431",
"telephone_number": "561-395-2133",
"fax_number": "561-392-4512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHM",
"first_name": "EVELYN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "EDD ARNP LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW4836",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP2075482",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.