Active NPI
Bo Hamer
- Clinical Social Worker
- Eureka, CA
National Provider Identifier
1811390115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 427 F St Ste Suite228
Eureka, CA 95501-1049 - Phone
- (707) 867-0259
- NPI assigned
- Sep 30, 2014
- Last updated
- May 10, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
427 F St Ste Suite228
Eureka, CA 95501-1049
Mailing address
PO Box 722
Blue Lake, CA 95525-0722
Phone (530) 440-5924
Other practice location 1
3960 Walnut Dr
Eureka, CA 95503-8938
Phone (707) 268-8722
Other practice location 2
2625 Wilson St
Eureka, CA 95503-4829
Phone (530) 440-5924
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77151 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Counseling Center | Past | Accepting new patients | |
| Remi Vista Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba six rivers counseling
- Community/Behavioral Health Agency
- Eureka, CA
- NPI 1497923312
-
- Case Management Agency
- Eureka, CA
- NPI 1558314161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1811390115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 722",
"city": "BLUE LAKE",
"state": "CA",
"postal_code": "955250722",
"telephone_number": "530-440-5924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 F ST STE SUITE228",
"city": "EUREKA",
"state": "CA",
"postal_code": "955011049",
"telephone_number": "707-867-0259"
}
],
"practiceLocations": [
{
"address_1": "3960 Walnut Dr",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955038938",
"country_code": "US",
"telephone_number": "707-268-8722",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2625 Wilson St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955034829",
"country_code": "US",
"telephone_number": "530-440-5924",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMER",
"first_name": "BO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-30",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.