Nathaniel R Bossick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5011 Issued in HI

Practice address

4586A E Eha Way
Ewa Beach, HI 96706

Phone

(504) 644-1912

Fax

(504) 644-1912

NPI assigned

Oct 19, 2015

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rainbow Health

  • Community/Behavioral Health Agency
  • Ewa Beach, HI
  • NPI 1760162663

  Counselor

  Medicare reassignment NPD Authorized official
• Nami Southeast Louisiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harvey, LA
  • NPI 1407078934
  NPD (past)
• Nami Southeast Louisiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Orleans, LA
  • NPI 1700997798
  NPD (past)

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1952772881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4586A E EHA WAY",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "96706",
            "telephone_number": "504-644-1912",
            "fax_number": "504-644-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4586A E EHA WAY",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "96706",
            "telephone_number": "504-644-1912",
            "fax_number": "504-644-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSICK",
        "first_name": "NATHANIEL",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-19",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "5011",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Pacific Health Inc
• Eileen Ryan Boland, LCSW
• Carissa Manreal Bolo, NURSE PRACTITIONER
• Magdalena Bonafe
• Jade Penelope Boquer-Velasco
• Robert E Boyack
• Diana Bradner
• Jaime Nicole Bradner
• Regina L Bray, NP
• Olga Briklin, M.D.

• Clinical Social Worker in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.