Active NPI
Charlene Boswell
- Clinical Social Worker
- Lake Katrine, NY
National Provider Identifier
1548852973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 108439-1
- Practice address
- 701 Grant Ave
Lake Katrine, NY 12449-5355 - Phone
- (845) 382-5968
- NPI assigned
- Feb 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 108439-1 | NY | Primary |
Addresses
Primary practice location
701 Grant Ave
Lake Katrine, NY 12449-5355
Mailing address
9 Meadowbrook Dr
Kingston, NY 12401-6953
Phone (845) 389-0074
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108439-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1548852973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MEADOWBROOK DR",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124016953",
"telephone_number": "845-389-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GRANT AVE",
"city": "LAKE KATRINE",
"state": "NY",
"postal_code": "124495355",
"telephone_number": "845-382-5968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSWELL",
"first_name": "CHARLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-08",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "108439-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Katrine, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.