Active NPI
Christina Boulding, LCSW
- Social Worker
- Tampa, FL
National Provider Identifier
1225149461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW6028
- Practice address
- 5707 N 22ND St
Access Center
Tampa, FL 33610-4350 - Phone
- (813) 272-2244
- Fax
- (813) 272-3766
- NPI assigned
- Aug 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW6028 | FL | Primary |
Addresses
Primary practice location
5707 N 22ND St
Access Center
Tampa, FL 33610-4350
Mailing address
3633 Hollow Trail Court
Palm Harbor, FL 34684
Phone (727) 787-5236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K4526 | Other | GROUP PROVIDER # |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Behavioral Health Centers, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Petersburg, FL
- NPI 1306057187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355702400000",
"number": "1225149461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3633 HOLLOW TRAIL COURT",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "34684",
"telephone_number": "727-787-5236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5707 N 22ND ST",
"address_2": "ACCESS CENTER",
"city": "TAMPA",
"state": "FL",
"postal_code": "336104350",
"telephone_number": "813-272-2244",
"fax_number": "813-272-3766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOULDING",
"first_name": "CHRISTINA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2012-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "SW6028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PROVIDER #",
"identifier": "K4526",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.