Ilyssa Lynn Boseski, LCSW, MSW, MED

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0011815 Issued in DE

Practice address

501 Silverside Rd Ste 24
Wilmington, DE 19809-1375

Phone

(267) 571-1783

NPI assigned

Nov 21, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1538673942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SILVERSIDE RD STE 24",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091375",
            "telephone_number": "267-571-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SILVERSIDE RD STE 24",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091375",
            "telephone_number": "267-571-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSESKI",
        "first_name": "ILYSSA",
        "middle_name": "LYNN",
        "credential": "LCSW, MSW, MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0011815",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW134698",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF PROFESSIONAL REGULATION",
            "identifier": "Q1-0011815",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA LICENSING SYSTEM",
            "identifier": "SW134698",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Danielle Bosenbark, PH.D
• Barbara Loftus Boswell, LPC
• Ilene Boudreaux, M.D.
• Billie Jo Boughter, CRNP
• Kathryn Bove, PHD
• Elizabeth Lowry Bowen, MSN CRNP

• Clinical Social Worker in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.