Shaun Micheal Bozick, MSW, LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

BP00945866 Issued in WV

Practice address

900 20TH St
Huntington, WV 25703-1810

Phone

(681) 378-3908

NPI assigned

Feb 26, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Recovery Resource Group

  • Community/Behavioral Health Agency
  • Huntington, WV
  • NPI 1669066858
  NPD
• Jason a. Moore, D.C. PLLC

  • Health Service Clinic/Center
  • Huntington, WV
  • NPI 1316168271
  NPD (past)

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1457945784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 20TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031810",
            "telephone_number": "681-378-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 20TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031810",
            "telephone_number": "681-378-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZICK",
        "first_name": "SHAUN",
        "middle_name": "MICHEAL",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-26",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00945866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbozick@rrgwv.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "900 20th St",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257031810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Boykin
• Marissa Boyle
• Traci Boyle, MS, MA, LPC
• Sydnie M Boylen
• Hannah Ruth Boyles
• Brentley Braden
• Jessica L Bradford
• Bradley J Richardson MD Ed D Inc
• Allison Bradley
• Anne Bradley, PHARM.D.

• Social Worker in Huntington, WV
• Providers in Huntington, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.