Individual provider Active NPI

Anita Inigez-Bouziane, LCSW-C

  • Clinical Social Worker
  • Evans, GA
National Provider Identifier
1508459934
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
607 Ronald Reagan Dr Unit 236
Evans, GA 30809-7710
Phone
(410) 216-4304
NPI assigned
Feb 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X GA
Clinical Social Worker 1041C0700X MD Primary

Addresses

Primary practice location

607 Ronald Reagan Dr Unit 236
Evans, GA 30809-7710

Mailing address

607 Ronald Reagan Dr Unit 236
Evans, GA 30809-7710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Counseling Centers, LLC Clinical CurrentSince Sep 24, 2023 Accepting new patients

Locations

607 Ronald Reagan Dr
Unit 236
Evans, GA 30809
Phone (410) 216-4304

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1508459934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 RONALD REAGAN DR UNIT 236",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308097710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 RONALD REAGAN DR UNIT 236",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308097710",
            "telephone_number": "410-216-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INIGEZ-BOUZIANE",
        "first_name": "ANITA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.