Active NPI
Danielle L Boggs, LCSW
- Clinical Social Worker
- Lebanon, MO
National Provider Identifier
1366636342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2005011371
- Practice address
- 331 Hospital Dr
Lebanon, MO 65536-9217 - Phone
- (417) 533-6369
- NPI assigned
- Aug 31, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2005011371 | MO | Primary |
Addresses
Primary practice location
331 Hospital Dr
Lebanon, MO 65536-9217
Mailing address
100 Hospital Dr
Lebanon, MO 65536-9210
Phone (417) 533-6369
Other names 1
- Mr. Danielle L Boggs
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005011371 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1366636342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOSPITAL DR",
"city": "LEBANON",
"state": "MO",
"postal_code": "655369210",
"telephone_number": "417-533-6369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 HOSPITAL DR",
"city": "LEBANON",
"state": "MO",
"postal_code": "655369217",
"telephone_number": "417-533-6369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGGS",
"first_name": "DANIELLE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-31",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2005011371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "BOGGS",
"middle_name": "L",
"prefix": "MR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lebanon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.