Individual provider Active NPI

Ashley Felts Boze, LCSW

  • Clinical Social Worker
  • Hopkinsville, KY
National Provider Identifier
1508949793
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3755 Issued in KY
Practice address
737B North Drive
Hopkinsville, KY 42240-2620
Phone
(270) 890-1780
Fax
(270) 890-1789
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3755 KY Primary

Addresses

Primary practice location

737B North Drive
Hopkinsville, KY 42240-2620

Mailing address

3999 Fort Campbell Blvd
Hopkinsville, KY 42240-4929
Phone (270) 886-2205

Other practice location 1

200 Clinic Dr
Madisonville, KY 42431-1661
Phone (270) 821-8874

Other practice location 2

200 Clinic Dr
Madisonville, KY 42431-1661
Phone (270) 821-8874

Other identifiers 1

IdentifierTypeStateIssuer
7100296370MedicaidKY

Other names 1

  • Pamela Ashley Felts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20240725001932 KY Practitioner - Clinical Social Worker 4385883180 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley F Boze LLC Clinical CurrentSince May 6, 2024 Accepting new patients

Locations

1618 E 9th St
Ste 104
Hopkinsville, KY 42240
Phone (270) 881-7291

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508949793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 FORT CAMPBELL BLVD",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404929",
            "telephone_number": "270-886-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737B NORTH DRIVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422402620",
            "telephone_number": "270-890-1780",
            "fax_number": "270-890-1789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Clinic Dr",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424311661",
            "country_code": "US",
            "telephone_number": "270-821-8874",
            "fax_number": "270-821-8883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Clinic Dr",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424311661",
            "country_code": "US",
            "telephone_number": "270-821-8874",
            "fax_number": "270-821-8883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOZE",
        "first_name": "ASHLEY",
        "middle_name": "FELTS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100296370",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "FELTS",
            "middle_name": "ASHLEY",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.