Jennifer Ross Boone, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003360 Issued in GA

Practice address

1 Huntington Rd Ste 703
Athens, GA 30606-7214

Phone

(706) 425-8900

Fax

(706) 425-8600

NPI assigned

Sep 11, 2007

Last updated

May 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: georgiabehavioralhealthprofessionals.jenniferboone@124220.advancedmd-direct.com

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.

• Jennifer Boone, LCSW LLC

  • Clinical Social Worker
  • Athens, GA
  • NPI 1588287213
  Medicare reassignment NPD Authorized official
• Douglas W Duke LPC

  • Professional Counselor
  • Watkinsville, GA
  • NPI 1497987119
  NPD (past)
• Restful Care Counseling, LLC

  • Clinical Social Worker
  • Athens, GA
  • NPI 1538761135
  NPD (past)
• Stresscare, Inc.

  • Clinical Social Worker
  • Watkinsville, GA
  • NPI 1023086105
  NPD (past)
• Clemson Counseling Center Inc

  • Mental Health Counselor
  • Clemson, SC
  • NPI 1467510156
  NPD (past)
• Maureen McGarty Psychologist PC

  • Psychologist
  • San Dimas, CA
  • NPI 1053514240
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1366637597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD STE 703",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067214",
            "telephone_number": "706-425-8900",
            "fax_number": "706-425-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD STE 703",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067214",
            "telephone_number": "706-425-8900",
            "fax_number": "706-425-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "JENNIFER",
        "middle_name": "ROSS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Bonilla, M.D.
• Joshua T Bonin, PA
• Katherine Book, PT
• Jill Booms, RN
• Elizabeth Ann Boone, CSTFA
• Carson Lee Booth
• Richard Robert Born, PH.D.
• Boss Lady Swag LLC
• Emily Boss
• Sandrine M Bosshardt, PH.D.

• Clinical Social Worker in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.

Verify at the official NPI Registry.