Willie Thomas Boddie Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1505 Issued in KY

Practice address

306 W Main St
Frankfort, KY 40601-1895

Phone

(502) 385-2748

Fax

(502) 996-8400

NPI assigned

Aug 23, 2011

Last updated

May 23, 2016By the provider in NPPES

Sex

Male

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

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Griffin Lyons Counseling LLC

  • Clinical Social Worker
  • Frankfort, KY
  • NPI 1104272418
  Medicare reassignment NPD

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1245510213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406011895",
            "telephone_number": "502-385-2748",
            "fax_number": "502-996-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406011895",
            "telephone_number": "502-385-2748",
            "fax_number": "502-996-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDIE",
        "first_name": "WILLIE",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100282590",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bluegrass Hearing Clinic, LLC
• Bluegrass Therapy Group, LLC
• Robin Harris Bogdon, MS CCC-SLP
• James Lawrence Boklage Sr., APRN-C
• Bondurant Middle School Clinic
• Christopher Allen Boni, D.C.
• Jayme Boswell

• Clinical Social Worker in Frankfort, KY
• Providers in Frankfort, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.