Active NPI
Catherine L. Boling, LLC
- Clinical Social Worker
- Branson, MO
National Provider Identifier
1720849243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CATHERINE L. BOLING, LLC
- Practice address
- 574 State Highway 248 Ste 2
Branson, MO 65616-7799 - Phone
- (417) 239-1389
- Fax
- (417) 332-8680
- NPI assigned
- Jan 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine Lea Boling, MSW
- Title
- Owner/Therapist
- Phone
- (417) 239-5280
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
574 State Highway 248 Ste 2
Branson, MO 65616-7799
Mailing address
2280 W Arlington St
Springfield, MO 65810-2206
Phone (417) 239-5280
Other practice location 1
1310 E Kingsley St Ste D
Springfield, MO 65804-7233
Phone (417) 882-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790949469 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Branson, MO
- NPI 1790949469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705881600000",
"number": "1720849243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 W ARLINGTON ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658102206",
"telephone_number": "417-239-5280",
"fax_number": "417-332-8680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "574 STATE HIGHWAY 248 STE 2",
"city": "BRANSON",
"state": "MO",
"postal_code": "656167799",
"telephone_number": "417-239-1389",
"fax_number": "417-332-8680"
}
],
"practiceLocations": [
{
"address_1": "1310 E Kingsley St Ste D",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658047233",
"country_code": "US",
"telephone_number": "417-882-7700",
"fax_number": "417-885-3956",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CATHERINE L. BOLING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-22",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A",
"authorized_official_last_name": "BOLING",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "LEA",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "417-239-5280",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790949469",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.