Carolyn E Boose, L.M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008152 Issued in IA

Practice address

20 N 14TH St
West Iowa Community Mental Health Center
Denison, IA 51442-2026

Phone

(712) 263-3172

Fax

(712) 263-5756

NPI assigned

Aug 15, 2013

Last updated

Aug 15, 2013By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1245663046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N 14TH ST",
            "address_2": "WEST IOWA COMMUNITY MENTAL HEALTH CENTER",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514422026",
            "telephone_number": "712-263-3172",
            "fax_number": "712-263-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N 14TH ST",
            "address_2": "WEST IOWA COMMUNITY MENTAL HEALTH CENTER",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514422026",
            "telephone_number": "712-263-3172",
            "fax_number": "712-263-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOSE",
        "first_name": "CAROLYN",
        "middle_name": "E",
        "credential": "L.M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "008152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092221",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Denison, IA
• Providers in Denison, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.