Belinda Renee Boomershine, MA LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S0023170 Issued in OH

Practice address

3095 Kettering Blvd
Moraine, OH 45439-1983

Phone

(937) 293-8300

Fax

(937) 534-1347

NPI assigned

Oct 24, 2012

Last updated

Oct 24, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1487907796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 KETTERING BLVD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391983",
            "telephone_number": "937-298-8300",
            "fax_number": "937-534-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 KETTERING BLVD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391983",
            "telephone_number": "937-293-8300",
            "fax_number": "937-534-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOMERSHINE",
        "first_name": "BELINDA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "MA LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0023170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathon Boehringer, LPN
• Josephine Boland, SLP
• Katie Leann Bolen, B.S., QMHS, SWT
• Michelle Nicole Bonnet, MD
• Kyla Booher, LSW
• Boston Brace International Inc (OP Specialty Bracing)
• Daniel Todd Bourne
• Rick Thomas Bowers, M.D.
• Shelby Boyd, MSW, LSW
• Christine Brean

• Social Worker in Moraine, OH
• Providers in Moraine, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.