Bolutife Dosumu

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

51608 Issued in TX

Practice address

706 W Ben White Blvd BLDG B
Ste 184
Austin, TX 78704-7870

Phone

(817) 789-9744

NPI assigned

Nov 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1710429238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ADAM CT",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374467",
            "telephone_number": "817-789-9744",
            "fax_number": "817-549-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W BEN WHITE BLVD BLDG B",
            "address_2": "STE 184",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047870",
            "telephone_number": "817-789-9744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Adam Ct",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78737",
            "country_code": "US",
            "telephone_number": "817-789-9744",
            "fax_number": "817-549-4592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSUMU",
        "first_name": "BOLUTIFE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51608",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7582",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "51608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Thomas Doss, LVN
• Karla Doss, PA-C
• Noble W Doss Jr., MD
• Sharon Liston Doss
• Elizabeth Anne Dossman, LPC
• John D Doty, M.D.
• Lisa Rene Doty, PHARM D
• Doublecreek Dental PLLC
• Doubletree Residential Services
• Emily Elaine Doubt, D.C.

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.