Diana Correa Boscovich

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW22233 Issued in FL

Practice address

130 S 19TH Cir SW
Vero Beach, FL 32962-7280

Phone

(915) 731-5075

NPI assigned

Jun 5, 2013

Last updated

Apr 28, 2024By 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 2

Addresses

Other names 1

• Diana M Correa Former name

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": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1275971830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S 19TH CIR SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329627280",
            "telephone_number": "915-731-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S 19TH CIR SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329627280",
            "telephone_number": "915-731-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCOVICH",
        "first_name": "DIANA",
        "middle_name": "CORREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22233",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "CORREA",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Borda, BCBA
• Lynn Borlas
• Cynthia Hall Boroczky
• Mercedes S. Borromeo, MD
• Victoria Borst
• Evan Botti, MD
• Michelle Botti, MD
• Todd Glen Botwin, DMD
• Kimberly Rae Bouchard
• Olga Borisovna Bourkin

• Clinical Social Worker in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2024; 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.