Irene Boamah, C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4910 Issued in KY

Practice address

489 Matlock Rd
Bowling Green, KY 42104-7407

Phone

(270) 320-1662

Fax

(270) 846-4887

NPI assigned

Aug 19, 2014

Last updated

Aug 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1780083303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 ASHLEY CIR STE 2",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045801",
            "telephone_number": "270-320-1662",
            "fax_number": "270-846-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 MATLOCK RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047407",
            "telephone_number": "270-320-1662",
            "fax_number": "270-846-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAMAH",
        "first_name": "IRENE",
        "credential": "C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "4910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bluegrass Surgical Association, PSC
• Daniel Agyei Boamah, LCSW
• Tyanna Boards
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• Ashley M Bogenreif, MT
• Jenna Boggs
• Jesse E Boles, OD

• Clinical Social Worker in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.