Daniel Agyei Boamah, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3917 Issued in KY

Practice address

2815 Russellville Rd
Bowling Green, KY 42101-3960

Phone

(270) 938-1020

Fax

(270) 938-1018

NPI assigned

Aug 11, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Ky Steps LLC

  • Community/Behavioral Health Agency
  • Bowling Green, KY
  • NPI 1811339914

  KY, Social Worker

  Medicare reassignment NPD Authorized official
• Ky Steps

  • Community/Behavioral Health Agency
  • Bowling Green, KY
  • NPI 1417300088
  NPD Authorized official

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1275942609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51372",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421025672",
            "telephone_number": "270-938-1020",
            "fax_number": "270-938-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 RUSSELLVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421013960",
            "telephone_number": "270-938-1020",
            "fax_number": "270-938-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAMAH",
        "first_name": "DANIEL",
        "middle_name": "AGYEI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-11",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "3917",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "KY",
            "license": "3917",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100306270",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bluegrass Med Care
• Bluegrass Medical Care LLC
• Bluegrass Oral Health Center PLLC
• Bluegrass Outpatient Center of Bowling Green, L.L.C.
• Bluegrass Surgical Association, PSC
• Irene Boamah, C.S.W
• Tyanna Boards
• Body Works Chiropractic PSC
• Ashley M Bogenreif, MT
• Jenna Boggs

• All providers in Bowling Green, KY
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.