Active NPI
Kathryn Sue Boring, LLBSW
- Social Worker
- Adrian, MI
National Provider Identifier
1659844918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6802090227
- Practice address
- 1040 S Winter St Ste 1022
Adrian, MI 49221-3876 - Phone
- (517) 263-8905
- NPI assigned
- Jan 9, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6802090227 | MI | Primary |
Addresses
Primary practice location
1040 S Winter St Ste 1022
Adrian, MI 49221-3876
Mailing address
1040 S Winter St Ste 1022
Adrian, MI 49221-3876
Phone (517) 263-8905
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 |
|---|---|---|---|
| 6802090227 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenawee Community Mental Health Authority | Past | Accepting new patients | |
| Lenawee Community Mental Health Authority | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Adrian, MI
- NPI 1912227570
-
- Community/Behavioral Health Agency
- Adrian, MI
- NPI 1962576983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1659844918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 S WINTER ST STE 1022",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492213876",
"telephone_number": "517-263-8905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 S WINTER ST STE 1022",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492213876",
"telephone_number": "517-263-8905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORING",
"first_name": "KATHRYN",
"middle_name": "SUE",
"credential": "LLBSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-09",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802090227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.