Teresa C. Boose, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.009931 Issued in IL

Practice address

929 Stacey Burk Dr
Flora, IL 62839-3241

Phone

(618) 662-2191

Fax

(618) 662-8090

NPI assigned

Aug 20, 2014

Sex

Female

Sole proprietor

No

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.

• County of Clay

  • Rural Health Clinic/Center
  • Flora, IL
  • NPI 1811946411

  IL

  Medicare reassignment Care Compare group
• County of Clay

  • Critical Access Hospital
  • Flora, IL
  • NPI 1184655136
  Care Compare group NPD
• County of Clay

  • Community/Retail Pharmacy
  • Flora, IL
  • NPI 1235990276
  Care Compare group
• County of Clay

  • Medicare Defined Swing Bed Hospital Unit
  • Flora, IL
  • NPI 1336345578
  Care Compare group
• County of Clay

  • Rural Health Clinic/Center
  • Louisville, IL
  • NPI 1831120401
  Care Compare group
• County of Clay

  • Rural Health Clinic/Center
  • Clay City, IL
  • NPI 1871950550
  Care Compare group

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of Clay 77 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 20, 2014.

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1699174185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 STACEY BURK DR",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628393241",
            "telephone_number": "618-662-2191",
            "fax_number": "618-662-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 STACEY BURK DR",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628393241",
            "telephone_number": "618-662-2191",
            "fax_number": "618-662-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOSE",
        "first_name": "TERESA",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.009931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synda Sue Bahl, RN
• Hannah Elise Baity, MA, LCPC
• Bandys Prescription, Inc
• Loranda Lee Banker, MS,RD,LDN
• Stephen W. Barber, D.M.D.
• Gina Lou Borcherding, MSOTRL
• Christina L Brown, LCSW
• Cody Burnett, DPT
• Harry A Carter, M.D.
• Angela Casolari, APN

• All providers in Flora, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.