Judie Lorraine Boman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS19424 Issued in CA

Practice address

2425 Fillmore St
Suite 100
San Francisco, CA 94115-1873

Phone

(415) 721-9908

Fax

(925) 828-3341

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467540195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11809 SOUTHWICK CT",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945681082",
            "telephone_number": "415-721-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 FILLMORE ST",
            "address_2": "SUITE 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151873",
            "telephone_number": "415-721-9908",
            "fax_number": "925-828-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMAN",
        "first_name": "JUDIE",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH GEOACCESS",
            "identifier": "10942982",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Bolton
• Demetria Bolton
• Diamond Bolton
• Megan Suzanne Bolton, MFTI
• Tyler Bolton
• Natalya Bomani
• Kevin Bomysoad, PHARMD
• Kathy Bonacini, DPT
• Maurizio Bonacini, M.D.
• Raqheali Megan Bonadie

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.