Elizabeth Anne Boshoven, LMSW ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087555 Issued in MI

Practice address

4403 Cascade Road SE
Suite 7
Grand Rapids, MI 49546

Phone

(616) 309-4553

Fax

(616) 469-1078

NPI assigned

Nov 8, 2006

Last updated

Mar 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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.

• Elizabeth Boshoven LLC

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1093126146
  Medicare reassignment NPD Authorized official
• Lakeview Counseling P.C.

  dba Lakeview Counseling

  • Community/Behavioral Health Agency
  • Traverse City, MI
  • NPI 1316009012
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1255401287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 CASCADE ROAD SE",
            "address_2": "SUITE 7",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-309-4553",
            "fax_number": "616-469-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 CASCADE ROAD SE",
            "address_2": "SUITE 7",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-309-4553",
            "fax_number": "616-469-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSHOVEN",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LMSW ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Mae M Bosanko, MD
• Lily Bosch
• Ronald Bosch, MSW
• Laura Haist Bose, PA-C
• Cassie Boshoven
• Teresa Lynn Bosley, OT
• Rachelle Grace Bosma, LMSW
• Tracy Kathleen Boss-Gimborys, PT
• Amy Boss, COTA
• Eric Wayne Boss, PT

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.