Theresa T Boswell, LCSW
Individual provider Active NPI Clinical Social Worker · Marysville, CA
NPI 1376749598 · NPPES record last updated May 26, 2020
Key facts
- NPI
- 1376749598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 76405 (CA)
- Practice address
- 1908 N Beale Rd
Marysville, CA 95901-6937 - Phone
- (530) 743-6888
- Fax
- (530) 743-9823
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7261 123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unique Approach Consulting & Counseling Services, LLC | Current | Accepting new patients | |
| Baby Buddies Birth Center | Past |
Accepting new patients | |
| Harmony Health Medical Clinic and Family Resource Center | Past |
Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8237/brand/1/csg/1/fhir/r4
- theresa.boswell@edchc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7261 123 | WI | |
| Clinical Social Worker | 1041C0700X | 76405 | CA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40967800 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tboswell@myharmonyhealth.org | Direct |
Other providers in Marysville, CA
- Daniel Brian Bogert
- Robert L. Bonacci
- Arnold Lydell Booth
- Deanna Elaine Borjesson
- Tesla Borrero
- Christine Boudoures
- Ashley Bowles
- Joellyn Boyle
- Kaleya Nicole Bracy
- Cierra Bradfield
All providers in Marysville, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.