Individual provider Active NPI

Jamie Boschee, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1386379295
Registry record updated Aug 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801113488 Issued in MI
Practice address
3290 Ann Arbor Saline Rd Apt 103
Ann Arbor, MI 48103-9865
Phone
(406) 214-5933
NPI assigned
Jul 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2022

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 6801113488 MI Primary

Addresses

Primary practice location

3290 Ann Arbor Saline Rd Apt 103
Ann Arbor, MI 48103-9865

Mailing address

3290 Ann Arbor Saline Rd Apt 103
Ann Arbor, MI 48103-9865
Phone (734) 926-9452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 29, 2024 through Jan 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801113488MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Moxie Psychotherapy, LLC Clinical CurrentSince Jul 16, 2023 Accepting new patients

Organizations & group practices 1

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": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1386379295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 ANN ARBOR SALINE RD APT 103",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039865",
            "telephone_number": "734-926-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 ANN ARBOR SALINE RD APT 103",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039865",
            "telephone_number": "406-214-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCHEE",
        "first_name": "JAMIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801113488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.