Roberta M Boam, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC300765 Issued in DC

Practice address

3000 Connecticut Ave NW
#301
Washington, DC 20008-2509

Phone

(202) 265-0049

Fax

(202) 667-2221

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1245320373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CONNECTICUT AVE NW",
            "address_2": "#226",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081444",
            "telephone_number": "202-265-0049",
            "fax_number": "202-667-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CONNECTICUT AVE NW",
            "address_2": "#301",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082509",
            "telephone_number": "202-265-0049",
            "fax_number": "202-667-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAM",
        "first_name": "ROBERTA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC300765",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "853",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER",
            "identifier": "A204",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Renato Blythe, LICSW, LCSW-C
• Qualisha Blyther
• BMH PT PC
• Linda Asare Boadi, MD
• Immanuella Boah, MD
• Gifty Boamah
• Amoafo Dwumfour Boampong, MD
• Dionne Boampong
• Boarder Baby Project (Little Blue House)
• Masika Sarah Boas

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.