Active NPI
Katherine Boll, MSW
- Social Worker
- Naples, FL
National Provider Identifier
1306324330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ISW12796
- Practice address
- 5020 Tamiami TRL N Ste 202
Naples, FL 34103-2838 - Phone
- (239) 682-3251
- NPI assigned
- Aug 1, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | ISW12796 | FL | Primary |
Addresses
Primary practice location
5020 Tamiami TRL N Ste 202
Naples, FL 34103-2838
Mailing address
2263 Coach House LN
Naples, FL 34105-2712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XJBH36989516 | Other | FL | BLUECROSS BLUESHIELD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW12796 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1306324330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2263 COACH HOUSE LN",
"city": "NAPLES",
"state": "FL",
"postal_code": "341052712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5020 TAMIAMI TRL N STE 202",
"city": "NAPLES",
"state": "FL",
"postal_code": "341032838",
"telephone_number": "239-682-3251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLL",
"first_name": "KATHERINE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "ISW12796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "XJBH36989516",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.