Active NPI
Micheal Steven Boling, LCSW
- Clinical Social Worker
- Hannibal, MO
National Provider Identifier
1700899473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 002374
- Practice address
- 6000 Hospital Drive
Hannibal, MO 63401 - Phone
- (573) 248-1300
- NPI assigned
- Aug 14, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- 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 | 002374 | MO | Primary |
Addresses
Primary practice location
6000 Hospital Drive
Hannibal, MO 63401
Mailing address
2354 County Road 108
Durham, MO 63438
Phone (573) 439-5811
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 |
|---|---|---|---|
| 002374 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannibal Regional Healthcare System Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1700899473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2354 COUNTY ROAD 108",
"city": "DURHAM",
"state": "MO",
"postal_code": "63438",
"telephone_number": "573-439-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 HOSPITAL DRIVE",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "63401",
"telephone_number": "573-248-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLING",
"first_name": "MICHEAL",
"middle_name": "STEVEN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "002374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hannibal, MO
- Blessing Hospital (Hannibal Hospitalist Group)
- Blessing Hospital (Blessing Health Pharmacy)
- Blessing Hospital (Blessing Health Hannibal)
- Emily Sue Bock, AGACNP-BC
- Sarah Ann Boland, PT, DPT
- Boone Supported Living, LLC
- Misty D Bowen, D.O.
- Bowling Green Arthritis & Rheumatology Clinic P C (North Missouri Rheumatology Clinic)
- Carrol Leann Boxerman, D.O.
- Nicole Suzanne Bradshaw, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.