Individual provider Active NPI

Julie Boster, LMSW, CAADC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1518386879
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801084524 Issued in MI
Practice address
3001 Plymouth Rd Ste 101
Ann Arbor, MI 48105-3205
Phone
(734) 929-4741
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C-00866 MI
Clinical Social Worker 1041C0700X 6801084524 MI Primary

Addresses

Primary practice location

3001 Plymouth Rd Ste 101
Ann Arbor, MI 48105-3205

Mailing address

3001 Plymouth Rd Ste 101
Ann Arbor, MI 48105-3205
Phone (734) 929-4741

Other practice location 1

6633 Stony Creek Rd
Ypsilanti, MI 48197-6609
Phone (734) 485-8725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20181228000909 MI Practitioner - Clinical Social Worker 6002151701 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-00866MIMDAddiction (Substance Use Disorder) Counselor
6801084524MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Behavioral Health LLC Clinical CurrentSince Oct 17, 2018 Accepting new patients
Dawn Farm Past Accepting new patients
Dawn, Inc Past Accepting new patients

Locations

3001 Plymouth Rd
Ste 101
Ann Arbor, MI 48105
Phone (734) 219-3952

2000 Green Rd
Ste 201
Ann Arbor, MI 48105

Organizations & group practices 3

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1518386879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 PLYMOUTH RD STE 101",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053205",
            "telephone_number": "734-929-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 PLYMOUTH RD STE 101",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053205",
            "telephone_number": "734-929-4741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6633 Stony Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481976609",
            "country_code": "US",
            "telephone_number": "734-485-8725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSTER",
        "first_name": "JULIE",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-00866",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801084524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.