Patricia Spears Boersma, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

51370 Issued in TX

Practice address

500 Gold Hawk LN
Bedford, TX 76022-6561

Phone

(817) 285-0333

Fax

(817) 285-0334

NPI assigned

Sep 1, 2006

Last updated

Mar 31, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

University of Alabama School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychological Associates, P.aGroup PAC ID 1052388014, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychological Associates, P.a.

  • Psychiatry Physician
  • Pensacola, FL
  • NPI 1457432205
  Medicare reassignment Care Compare group NPD
• Dr. Saleem & Associates

  • Psychiatry Physician
  • Bedford, TX
  • NPI 1366614166
  NPD (past)
• Michael P Conrad MD PA

  • Psychiatry Physician
  • Pensacola, FL
  • NPI 1346417029
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1609978543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GOLD HAWK LN",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226561",
            "telephone_number": "817-285-0333",
            "fax_number": "817-228-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GOLD HAWK LN",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226561",
            "telephone_number": "817-285-0333",
            "fax_number": "817-285-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERSMA",
        "first_name": "PATRICIA",
        "middle_name": "SPEARS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW7227",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UNSPECIFIED",
            "identifier": "Z7160A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Monique Black, MD
• Bill Neff Blackmon Jr.
• Destiney Blackwell
• Lisa Blecher, M.S., CCC-SLP
• Neeraja Jagannadham Boddu, M.D.
• David James Bohannan, DMD
• Masooma Zainab Bokhari
• Robert Albin Bollinger II, DO
• Taren Boman
• Bonnie J Watkins Otr Inc

• Clinical Social Worker in Bedford, TX
• Providers in Bedford, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.