Individual provider Active NPI

Karen Cornelia McNealy-Boswell, LCSW

  • Clinical Social Worker
  • Columbus, GA
National Provider Identifier
1588766737
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1791C Issued in AL
Practice address
5700 Veterans Pkwy
Columbus, GA 31904-9093
Phone
(706) 221-3222
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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 1791C AL Primary

Addresses

Primary practice location

5700 Veterans Pkwy
Columbus, GA 31904-9093

Mailing address

PO Box 326
Tuskegee Institute, AL 36087-0326
Phone (334) 552-2186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220426001247 AL Practitioner - Clinical Social Worker 8123415924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Boston University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rivertown Psychiatry PCGroup PAC ID 1153575410, 27 clinicians

Practice addresses (Care Compare)

2123 Executive Park Dr
Opelika, AL 36801-6041
Phone (334) 275-9595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1791CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rivertown Psychiatry, PC CurrentSince May 16, 2022 Accepting new patients

Locations

2123 Executive Park Dr
Opelika, AL 36801
Phone (334) 275-9595

6003 Veterans Pkwy
Ste 100
Columbus, GA 31909
Phone (706) 223-1933

705 17th St
Ste 410
Columbus, GA 31901
Phone (706) 223-1933

5700 Veterans Pkwy
Columbus, GA 31904
Phone (706) 221-3222

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1588766737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "TUSKEGEE INSTITUTE",
            "state": "AL",
            "postal_code": "360870326",
            "telephone_number": "334-552-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049093",
            "telephone_number": "706-221-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEALY-BOSWELL",
        "first_name": "KAREN",
        "middle_name": "CORNELIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1791C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.