Claudette May Wallace-Boahin, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1643 Warwick Ave
Warwick, RI 02889-1525

Phone

(401) 266-6833

NPI assigned

Dec 5, 2011

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1437427523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028891525",
            "telephone_number": "401-288-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028891525",
            "telephone_number": "401-266-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE-BOAHIN",
        "first_name": "CLAUDETTE",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #03704)
• Walgreen Co (Walgreens #19838)
• Alison Walker, PT
• Joshua David Walker, PTA
• Robert A. Walker, PH.D. LMHC
• Donna F Wallace, PT
• Alison Walsh, LCSW
• Rita Walsh
• Allan Wang
• Rachael Emily Wang

• Mental Health Counselor in Warwick, RI
• Providers in Warwick, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.