Kelly Boehms, ASW
Individual provider Active NPI Clinical Social Worker · Arcata, CA
NPI 1700657244 · NPPES record last updated Jan 12, 2024
Key facts
- NPI
- 1700657244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 120354 (CA)
- Practice address
- 920 Samoa Blvd Ste 209
Arcata, CA 95521-6696 - Phone
- (707) 502-4046
- NPI assigned
- Jan 12, 2024
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 120354 | CA | Yes |
Addresses
Primary practice location
920 Samoa Blvd Ste 209
Arcata, CA 95521-6696
Mailing address
920 Samoa Blvd Ste 209
Arcata, CA 95521-6696
Phone (707) 502-4046
Other providers in Arcata, CA
- Mary Susanne Blanco
- Steven Michael Blankman
- Kimberly Bloomfield
- Liam James Boardman
- Bodywise Physical Therapy
- Jocelyn Bolanso
- Primo Bonilla
- Sally Jeanette Boone
- Ian Booze
- Angela Borge
All providers in Arcata, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.