Amanda Boman
Individual provider Active NPI Clinical Social Worker · Edgerton, WI
NPI 1720457948 · NPPES record last updated Mar 7, 2022
Key facts
- NPI
- 1720457948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 11101 N Sherman Rd
Edgerton, WI 53534-9002 - Phone
- (608) 884-3441
- NPI assigned
- Sep 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
11101 N Sherman Rd
Edgerton, WI 53534-9002
Mailing address
11101 N Sherman Rd
Edgerton, WI 53534-9002
Other providers in Edgerton, WI
- Carmen Jean Bills
- Rajvinder Singh Bindra
- Sandy Biviano
- Sandra Lea Bjornstad
- Bobbi Jo Bogner II
- Crystal Marie Borde
- Evan Graham Buhrow
- Susan Marie Burkheimer
- Shelly Butt
- Carevana Transportation LLC
All providers in Edgerton, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.