Kirsten Cathell Boulton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSCW28385 Issued in CA

Practice address

550 Orange St Ste F
Redlands, CA 92374-3242

Phone

(760) 221-4017

NPI assigned

May 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1497321897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PINE AVE APT 134",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734598",
            "telephone_number": "760-221-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ORANGE ST STE F",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923743242",
            "telephone_number": "760-221-4017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Pine Ave Apt 134",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923734598",
            "country_code": "US",
            "telephone_number": "760-221-4017",
            "fax_number": "909-312-2076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOULTON",
        "first_name": "KIRSTEN",
        "middle_name": "CATHELL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LSCW28385",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "28385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore George Boozalis
• Fardad Borhani, DMD
• Alexandria Borjon
• Janee Brooke Both-Gragg, PHD, MFT
• Leah Fay Botimer, CPNP
• Mary Bourang, FNP
• Robert CM Bourne, M.D.
• Jana K Boyd, JANA BOYD, PHD
• Vicky Reyes Boykins, LMFT
• Anneliese Mary Elizabeth Boyle

• Clinical Social Worker in Redlands, CA
• Providers in Redlands, 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 Jun 22, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.