Krystal Boza, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1362 Robin CT
Deland, FL 32720-2544

Phone

(321) 300-4246

NPI assigned

May 6, 2014

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Therapy Hour

  • Social Worker
  • Deland, FL
  • NPI 1134969967
  NPD Authorized official
• Peace River Center for Personal Development Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lakeland, FL
  • NPI 1538802939
  NPD (past)

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1801206388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 ROBIN CT",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202544",
            "telephone_number": "321-300-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 ROBIN CT",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202544",
            "telephone_number": "321-300-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZA",
        "first_name": "KRYSTAL",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl A Booher, AUD
• Latisha Y Bordley
• Graham Borysko, D.O.
• David Boules, DMD
• Jarrett Bourque, DC
• Jaime Roberto Bracero, PHARMD
• Ivan L Bradley, RPH
• Michelle Bradt, LCSW
• Meghan Flannery Bramlett, LMT
• Kevin Bruce Brantley, O.D.

• Social Worker in Deland, FL
• Providers in Deland, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.