Organization Active NPI

Leigh Bostic LLC

  • Clinical Social Worker
  • Greenville, SC
National Provider Identifier
1922487321
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5459 Issued in SC
Legal business name
LEIGH BOSTIC LLC
Practice address
110 Manly St
Greenville, SC 29601-3025
Phone
(864) 298-8026
Fax
(864) 298-8032
NPI assigned
May 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Leigh BosticNPI 1518007806
Title
Sole Member
Phone
(864) 298-8026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 5459 SC Primary

Addresses

Primary practice location

110 Manly St
Greenville, SC 29601-3025

Mailing address

706 S Almond Dr
Simpsonville, SC 29681-3347
Phone (864) 430-0475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150610001651 SC Part B Supplier - Clinic/Group Practice 3971824327 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1922487321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S ALMOND DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813347",
            "telephone_number": "864-430-0475",
            "fax_number": "864-298-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MANLY ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013025",
            "telephone_number": "864-298-8026",
            "fax_number": "864-298-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIGH BOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "BOSTIC",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "864-298-8026"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "5459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.