Thomas Matthew Bosworth, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1590 Issued in SD

Practice address

420 Quincy St
Rapid City, SD 57701-3626

Phone

(605) 343-7755

Fax

(605) 716-0650

NPI assigned

Dec 11, 2006

Last updated

Apr 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

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.

• Bosworth Therapy & Consultation Services Inc

  • Clinical Social Worker
  • Rapid City, SD
  • NPI 1548203730
  Authorized official Same address or phone

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586044800000",
    "number": "1306906011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 QUINCY ST # 215",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013626",
            "telephone_number": "605-343-7755",
            "fax_number": "605-721-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 QUINCY ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013626",
            "telephone_number": "605-343-7755",
            "fax_number": "605-716-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWORTH",
        "first_name": "THOMAS",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-04-05",
        "certification_date": "2020-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "1590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6570593",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsie Bossert, MS, CCC-SLP
• Carrie Bossman
• Cindi Boswell, LPTA
• Bosworth Therapy & Consultation Services Inc
• Jon Bosworth, OT
• Laura E Botkins, PHARMD
• Kelly M Bouma, CRNA
• Marvin Lee Bouska, MS
• Sara Kay Bouzek, SLP
• Logan Bowen, AU.D

• Clinical Social Worker in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Clinical Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.