Boundless LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BOUNDLESS LCSW PLLC

Practice address

319 Avenue C
New York, NY 10009

Phone

(929) 274-2255

NPI assigned

Aug 21, 2023

Last updated

Aug 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prerna Menon, LCSWNPI 1053938126

Title

Co-Founder

Phone

(412) 609-2641

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Prerna Menon

  • Clinical Social Worker
  • New York, NY
  • NPI 1053938126
  NPD Authorized official

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1881478972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 5TH AVE # 2537",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100182794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 AVENUE C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10009",
            "telephone_number": "929-274-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNDLESS LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "MENON",
        "authorized_official_first_name": "PRERNA",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "412-609-2641",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Boulos, RPH
• Monica Gamal Boulos, MD
• Melissa Boulter
• Emily Boulukos, CCC-SLP
• Bounce Back Physical Therapy, PC
• Brent Ivan Bounds, PHD
• Isabelle Quinn Boundy
• Caroline Samantha Bourassa, CPNP
• Stephanie Paige Bourassa, MSTOM, LAC
• Rina Bourbia

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.