Individual provider Active NPI

Catherine Lea Boling, LCSW

  • Clinical Social Worker
  • Branson, MO
National Provider Identifier
1790949469
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
001757 Issued in MO
Practice address
574 State Highway 248
Ste 2
Branson, MO 65616-7740
Phone
(417) 239-1389
Fax
(417) 332-8680
NPI assigned
Jul 11, 2008
Last updated
Jul 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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 001757 MO Primary

Addresses

Primary practice location

574 State Highway 248
Ste 2
Branson, MO 65616-7740

Mailing address

574 State Highway 248
Ste 2
Branson, MO 65616-7740
Phone (417) 239-1389

Other identifiers 1

IdentifierTypeStateIssuer
1346412327MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080711000498 MO Practitioner - Clinical Social Worker 2264504901 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001757MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catherine L. Boling, LLC Clinical CurrentSince May 12, 2024 Accepting new patients

Locations

574 State Highway 248
Ste 2
Branson, MO 65616
Phone (417) 239-1389

1310 E Kingsley St
Ste D
Springfield, MO 65804
Phone (417) 880-3473

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1790949469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 STATE HIGHWAY 248",
            "address_2": "STE 2",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167740",
            "telephone_number": "417-239-1389",
            "fax_number": "417-332-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 STATE HIGHWAY 248",
            "address_2": "STE 2",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167740",
            "telephone_number": "417-239-1389",
            "fax_number": "417-332-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLING",
        "first_name": "CATHERINE",
        "middle_name": "LEA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "001757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346412327",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.