Active NPI
Danielle Bostic, LCSW-C
- Clinical Social Worker
- Nottingham, MD
National Provider Identifier
1255900643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 9712 Belair Rd Ste 300
Nottingham, MD 21236-1113 - Phone
- (410) 501-9591
- NPI assigned
- Jun 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
9712 Belair Rd Ste 300
Nottingham, MD 21236-1113
Mailing address
1528 Northgate Rd
Baltimore, MD 21218-1618
Phone (443) 769-5434
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1255900643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 NORTHGATE RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212181618",
"telephone_number": "443-769-5434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9712 BELAIR RD STE 300",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212361113",
"telephone_number": "410-501-9591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSTIC",
"first_name": "DANIELLE",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-21",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.