Individual provider Active NPI

Carol Riegler Boshart, LCSW

  • Clinical Social Worker
  • Brentwood, MO
National Provider Identifier
1730483041
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW002450 Issued in MO
Practice address
2025 S Brentwood Blvd
Suite 200
Brentwood, MO 63144-1833
Phone
(314) 963-8900
Fax
(314) 963-8950
NPI assigned
Dec 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW002450 MO Primary

Addresses

Primary practice location

2025 S Brentwood Blvd
Suite 200
Brentwood, MO 63144-1833

Mailing address

402 E Glendale Rd
Webster Groves, MO 63119-4845
Phone (314) 852-9051

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW002450MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1730483041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E GLENDALE RD",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631194845",
            "telephone_number": "314-852-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 S BRENTWOOD BLVD",
            "address_2": "SUITE 200",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441833",
            "telephone_number": "314-963-8900",
            "fax_number": "314-963-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSHART",
        "first_name": "CAROL",
        "middle_name": "RIEGLER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW002450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.