Makala Raye Boren, MSW, PCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1097 Issued in WY

Practice address

500 S Wolcott St Ste 103
Casper, WY 82601-2882

Phone

(307) 333-5370

Fax

(307) 333-5371

NPI assigned

Sep 18, 2023

Last updated

Sep 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crossroads Counseling LLC

  • Community/Behavioral Health Agency
  • Casper, WY
  • NPI 1346655164
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1700664091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S WOLCOTT ST STE 103",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012882",
            "telephone_number": "307-333-5370",
            "fax_number": "307-333-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S WOLCOTT ST STE 103",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012882",
            "telephone_number": "307-333-5370",
            "fax_number": "307-333-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOREN",
        "first_name": "MAKALA",
        "middle_name": "RAYE",
        "credential": "MSW, PCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "1097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary C Boltz, RN
• Anna Jean Bond, RN
• Daniel Ryan Bonifield, D.O.
• Angela Lee Booth, APRN
• Travis Bopp
• Bottom Half, LLC
• Michael Raymond Boulter, DPT
• John Lee Bouzis, D.D.S
• Rebecca Rae Bouzis, MSN, RN
• Abby Bowen-Rodda, PH.D.

• Clinical Social Worker in Casper, WY
• Providers in Casper, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.