Latonya Boulware, BSW, MBA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2289 Spencer Boyd Rd
Great Falls, SC 29055-8908

Phone

(803) 482-6754

NPI assigned

Sep 21, 2019

Last updated

Sep 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

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

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569024000000",
    "number": "1528619574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2289 SPENCER BOYD RD",
            "city": "GREAT FALLS",
            "state": "SC",
            "postal_code": "290558908",
            "telephone_number": "803-482-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2289 SPENCER BOYD RD",
            "city": "GREAT FALLS",
            "state": "SC",
            "postal_code": "290558908",
            "telephone_number": "803-482-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULWARE",
        "first_name": "LATONYA",
        "credential": "BSW, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-21",
        "last_updated": "2019-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Brighter Tomorrow, LLC
• Matthew Donovan Broome, PHARMD
• Chester Physicians Hma (Lowrys Family Medicine)
• Jessica Nicole Dewese, P-LCSW
• Great Falls Consulting LLC
• Garrett Colton Kent, M.D.

• Case Manager/Care Coordinator in Great Falls, SC
• Providers in Great Falls, SC by specialty
• Case Manager/Care Coordinator in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2019; 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.