Active NPI
Rebekah Fay Boss
- Social Worker
- Charleston, SC
National Provider Identifier
1699472126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12020
- Practice address
- 1748 Jervey Ave
Charleston, SC 29407-3652 - Phone
- (843) 471-4544
- NPI assigned
- Feb 15, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12020 | SC | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12020 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1748 Jervey Ave
Charleston, SC 29407-3652
Mailing address
700 Johnnie Dodds Blvd
200
Mt Pleasant, SC 29464
Phone (843) 471-4544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2023.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1699472126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 JOHNNIE DODDS BLVD",
"address_2": "200",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-471-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1748 JERVEY AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294073652",
"telephone_number": "843-471-4544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSS",
"first_name": "REBEKAH",
"middle_name": "FAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-15",
"last_updated": "2023-02-15",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "12020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.