Individual provider Active NPI

Molly Boston, LCSW

  • Clinical Social Worker
  • Sedalia, MO
National Provider Identifier
1346717469
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2024029354 Issued in MO
Practice address
305 W Main St
Sedalia, MO 65301-3821
Phone
(660) 310-0909
Fax
(888) 979-8868
NPI assigned
Oct 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2024029354 MO Primary

Addresses

Primary practice location

305 W Main St
Sedalia, MO 65301-3821

Mailing address

305 W Main St
Sedalia, MO 65301-3821
Phone (660) 826-4774

Other names 1

  • Molly Brumit Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20220801001363 MO Practitioner - Clinical Social Worker 2163804691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Care Clinic IncGroup PAC ID 8224926092, shared by 7 NPIs, 31 clinicians

Practice addresses (Care Compare)

305 W Main St
Sedalia, MO 65301-3821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024029354MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Care Clinic, Inc Current Accepting new patients
Regional Health Care Clinic, Inc CurrentSince May 9, 2022 Accepting new patients
Regional Health Care Clinic Inc CurrentSince May 9, 2022 Accepting new patients
Regional Health Care Clinic, Inc Clinical CurrentSince Jul 30, 2024 Accepting new patients

Locations

500 S Keeney St
Cole Camp, MO 65325
Phone (660) 668-3011

401 W Pettis St
Green Ridge, MO 65332
Phone (660) 527-3315

1825 Atchison Ave
Marshall, MO 65340
Phone (660) 886-3434

305 W Main St
Sedalia, MO 65301
Phone (660) 310-0909

821 Westwood Dr
Sedalia, MO 65301

41569 Ivy Bend Rd
Stover, MO 65078
Phone (877) 733-5824

701 N Oak St
Stover, MO 65078
Phone (573) 377-2217

1109 W Clay Rd
Versailles, MO 65084
Phone (573) 378-2349

913 W Newton St
Versailles, MO 65084
Phone (573) 378-4231

17571 N Dam Access Rd
Warsaw, MO 65355
Phone (660) 428-1280

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1346717469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W MAIN ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653013821",
            "telephone_number": "660-826-4774",
            "fax_number": "888-979-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W MAIN ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653013821",
            "telephone_number": "660-310-0909",
            "fax_number": "888-979-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "MOLLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024029354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "BRUMIT",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sedalia, MO

Sources for this page

Verify at the official NPI Registry.