Deric J Boston, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006078 Issued in NC

Practice address

110 Iowa Lane, Suite 202
Cary, NC 27511

Phone

(919) 619-1032

Fax

(919) 465-2307

NPI assigned

Jan 29, 2009

Sex

Male

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

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Global Counseling Solutions PLLCGroup PAC ID 0244552669, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Global Counseling Solutions, PLLC

  • Clinical Social Worker
  • Durham, NC
  • NPI 1902212624
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1861630816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 IOWA LANE, SUITE 202",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27511",
            "telephone_number": "919-619-1032",
            "fax_number": "919-465-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IOWA LANE, SUITE 202",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27511",
            "telephone_number": "919-619-1032",
            "fax_number": "919-465-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "DERIC",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Duncan Bordeaux Jr.
• Rebecca Paige Borg, PA-C
• Sherri Bosely, MA, CCC-SLP
• Jessica Bossolina, M.S. CCC SLP
• Alonzae R'Rion Bostic
• Keenaida Boston
• Kristen Corbett Boucher, PMHNP
• Melissa Nicole Boucher, MS, OTR/L
• Bound to Bloom Behavioral Institute
• Maura Katherine Bourne, MSW, LCSWA

• Clinical Social Worker in Cary, NC
• Providers in Cary, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.