Individual provider Active NPI

Richard B. Boswell, MSW, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1386754109
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002120 Issued in MO
Practice address
7700 Clayton Rd
Suite # 103
Saint Louis, MO 63117-1328
Phone
(314) 645-5333
Fax
(314) 644-6911
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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 149.002556 IL
Clinical Social Worker 1041C0700X 002120 MO Primary

Addresses

Primary practice location

7700 Clayton Rd
Suite # 103
Saint Louis, MO 63117-1328

Mailing address

7700 Clayton Rd
Suite # 103
Saint Louis, MO 63117-1328
Phone (314) 645-5333

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
149.002556ILMDClinical Social Worker
002120MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carol Dyer, Inc Past 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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1386754109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 CLAYTON RD",
            "address_2": "SUITE # 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171328",
            "telephone_number": "314-645-5333",
            "fax_number": "314-644-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 CLAYTON RD",
            "address_2": "SUITE # 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171328",
            "telephone_number": "314-645-5333",
            "fax_number": "314-644-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "RICHARD",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.002556",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.