Individual provider Active NPI

Tiashieka Lamea Boseman, LISW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1669746293
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1101600 Issued in OH
Practice address
1303 E Main St
Columbus, OH 43205-2047
Phone
(800) 256-5001
Fax
(614) 252-4367
NPI assigned
Feb 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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 I.1101600 OH Primary

Addresses

Primary practice location

1303 E Main St
Columbus, OH 43205-2047

Mailing address

1801 Watermark Dr
Ste 200
Columbus, OH 43215-7088
Phone (888) 202-2965

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1101600OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Counseling, LLC CurrentSince Apr 1, 2012 Accepting new patients
National Youth Advocate Program, Inc Past Accepting new patients
National Youth Advocate Program, Inc Past Accepting new patients

Locations

131 N Ewing St
Ste B
Lancaster, OH 43130
Phone (740) 689-6700

Organizations & group practices 3

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": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1669746293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WATERMARK DR",
            "address_2": "STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157088",
            "telephone_number": "888-202-2965",
            "fax_number": "614-487-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052047",
            "telephone_number": "800-256-5001",
            "fax_number": "614-252-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSEMAN",
        "first_name": "TIASHIEKA",
        "middle_name": "LAMEA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1101600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.