Active NPI
Rebecca Jane Boseker, LISW
- Clinical Social Worker
- Delaware, OH
National Provider Identifier
1669784682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-0005831-S
- Practice address
- 824 Bowtown Rd
Delaware, OH 43015-9661 - Phone
- (740) 369-7688
- Fax
- (740) 368-7835
- NPI assigned
- Jul 7, 2010
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-0005831-S | OH | Primary |
Addresses
Primary practice location
824 Bowtown Rd
Delaware, OH 43015-9661
Mailing address
824 Bowtown Rd
Delaware, OH 43015-9661
Phone (740) 369-7688
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
| License | State | Type | Specialty |
|---|---|---|---|
| I-0005831-S | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1669784682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 BOWTOWN RD",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430159661",
"telephone_number": "740-369-7688",
"fax_number": "740-368-7835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 BOWTOWN RD",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430159661",
"telephone_number": "740-369-7688",
"fax_number": "740-368-7835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSEKER",
"first_name": "REBECCA",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-07",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I-0005831-S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delaware, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.