Active NPI
Noah Boswell, LCSW
- Clinical Social Worker
- Santa Fe, NM
National Provider Identifier
1346067964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWB-2026-0200
- Practice address
- 4730 Beckner Rd
Santa Fe, NM 87507-3691 - Phone
- (505) 989-4500
- Fax
- (505) 443-8313
- NPI assigned
- Sep 24, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW.0009925204 | CO | |
| Clinical Social Worker | 1041C0700X | SWB-2026-0200 | NM | Primary |
| Clinical Social Worker | 1041C0700X | ISW04221 | RI |
Addresses
Primary practice location
4730 Beckner Rd
Santa Fe, NM 87507-3691
Mailing address
28 Penn St
Providence, RI 02909-1002
Phone (713) 248-4164
Other practice location 1
28 Penn St
Providence, RI 02909-1002
Phone (713) 248-4164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 2267
Santa Fe, NM 87504
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW.0009925204 | CO | MD | Social Worker |
| SWB-2026-0200 | NM | MD | Clinical Social Worker |
| ISW04221 | RI | MD | Clinical Social Worker |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Rio Rancho, NM
- NPI 1871505032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1346067964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 PENN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029091002",
"telephone_number": "713-248-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4730 BECKNER RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875073691",
"telephone_number": "505-989-4500",
"fax_number": "505-443-8313"
}
],
"practiceLocations": [
{
"address_1": "28 Penn St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029091002",
"country_code": "US",
"telephone_number": "713-248-4164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSWELL",
"first_name": "NOAH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-24",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "LSW.0009925204",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "SWB-2026-0200",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW04221",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.