Active NPI
Elizabeth Bosco, LCSW
- Clinical Social Worker
- Waltham, MA
National Provider Identifier
1477901593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 221887
- Practice address
- 118 Central St
Waltham, MA 02453-5465 - Phone
- (781) 891-0556
- NPI assigned
- May 31, 2016
- Last updated
- Sep 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 221887 | MA | Primary |
Addresses
Primary practice location
118 Central St
Waltham, MA 02453-5465
Mailing address
118 Central St
Waltham, MA 02453-5465
Phone (781) 891-0556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221887 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maron Dga PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1477901593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 CENTRAL ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024535465",
"telephone_number": "781-891-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 CENTRAL ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024535465",
"telephone_number": "781-891-0556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSCO",
"first_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "221887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
- Erica Booth
- Rachel Borges, LCSW
- Haylee Borgstrom, MD, MS
- Vivian Bornfriend, DMD
- Marina Borocov, NP
- Boston Advanced Anesthesia, Inc (Greater Boston Anesthesia Associates)
- Boston Advanced Medicine Inc
- Boston Advanced Medicine Inc
- Boston Advanced Medicine Inc
- Boston Brace International Inc. (OP Specialty Bracing)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.