Individual provider Active NPI

Theresa T Boswell, LCSW

  • Clinical Social Worker
  • Marysville, CA
National Provider Identifier
1376749598
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
76405 Issued in CA
Practice address
1908 N Beale Rd
Marysville, CA 95901-6937
Phone
(530) 743-6888
Fax
(530) 743-9823
NPI assigned
Jun 25, 2007
Last updated
May 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7261 123 WI
Clinical Social Worker 1041C0700X 76405 CA Primary

Addresses

Primary practice location

1908 N Beale Rd
Marysville, CA 95901-6937

Mailing address

1860 Howe Ave
Suite 440
Sacramento, CA 95825-1073
Phone (916) 569-8484

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tboswell@myharmonyhealth.org Direct

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

LicenseStateTypeSpecialty
7261 123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Approach Consulting & Counseling Services, LLC Current Accepting new patients
Harmony Health Medical Clinic and Family Resource Center PastSince May 31, 2020 Accepting new patients
Baby Buddies Birth Center PastSince May 31, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8237/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tboswell@myharmonyhealth.org
  • Direct secure messaging: theresa.boswell@edchc.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1376749598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 HOWE AVE",
            "address_2": "SUITE 440",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251073",
            "telephone_number": "916-569-8484",
            "fax_number": "916-550-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N BEALE RD",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016937",
            "telephone_number": "530-743-6888",
            "fax_number": "530-743-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "THERESA",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7261 123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "76405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tboswell@myharmonyhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1908 N Beale Rd",
            "city": "Marysville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959016937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.