Katrina Boston, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8074 Issued in FL

Practice address

624 W Tropical Way
Plantation, FL 33317-3348

Phone

(954) 584-6155

Fax

(954) 316-7553

NPI assigned

Jul 27, 2007

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bliss Recovery Center LLC

  • Substance Abuse Rehabilitation Facility
  • Fort Lauderdale, FL
  • NPI 1265983498
  NPD (past)
• Center for Clinical & Forensic Psychology Inc

  • Clinical Psychologist
  • Plantation, FL
  • NPI 1265459275
  NPD (past)

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1942490768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W TROPICAL WAY",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173348",
            "telephone_number": "954-584-6155",
            "fax_number": "954-316-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W TROPICAL WAY",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173348",
            "telephone_number": "954-584-6155",
            "fax_number": "954-316-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "KATRINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charmaine S. Borda, PH.D, LMHC, MFT
• Jaimie Carolina Borgenicht-Lopez, D.M.D
• Tatyana Strumkovskaya Borisiak, MD
• Mayden Borrego, O.D.
• Trisha Borrero, M.S., CCC-SLP, ASDCS
• Nico Botelho
• Ana C Botero, M.D.
• Melissa Botero, APRN, FNP-BC
• Daniel Botros
• Leah Botton, OTR/L

• Clinical Social Worker in Plantation, FL
• Providers in Plantation, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.