Marcia R Boal, MSW
Individual provider Active NPI Clinical Social Worker · Edwardsville, KS
NPI 1497793426 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1497793426
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LSCSW771 (KS)
- Practice address
- 10601 Kaw Dr
Edwardsville, KS 66111-1170 - Phone
- (913) 441-3030
- Fax
- (913) 441-6940
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSCSW771 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teresa Reichart-Vernon, Lscsw LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSCSW771 | KS | Yes |
Addresses
Primary practice location
10601 Kaw Dr
Edwardsville, KS 66111-1170
Mailing address
10601 Kaw Dr
Edwardsville, KS 66111-1170
Phone (913) 441-3030
Other providers in Edwardsville, KS
- Galen Bahadoorsingh
- Wendy Baker
- Melody A Chess
- City of Edwardsville KS
- Michelle Yvonne Cobler
- Edwardsville Care and Rehabilitation Center, LLC
- Edwardsville Operator, LLC
All providers in Edwardsville, KS · Clinical Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.