Individual provider Active NPI

Jason Boehler, MSW

  • Clinical Social Worker
  • Davis-Monthan Afb, AZ
National Provider Identifier
1952780157
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14717 Issued in FL
Practice address
5210 S. Herky Blvd
Building 130
Davis-Monthan Afb, AZ 85707
Phone
(520) 228-6449
NPI assigned
May 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW14717 FL Primary

Addresses

Primary practice location

5210 S. Herky Blvd
Building 130
Davis-Monthan Afb, AZ 85707

Mailing address

5210 S. Herky Blvd
Building 130
Davis-Monthan Afb, AZ 85737
Phone (520) 228-6449

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jason.boehler@us.af.mil

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW14717FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1952780157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 S. HERKY BLVD",
            "address_2": "BUILDING 130",
            "city": "DAVIS-MONTHAN AFB",
            "state": "AZ",
            "postal_code": "85737",
            "telephone_number": "520-228-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 S. HERKY BLVD",
            "address_2": "BUILDING 130",
            "city": "DAVIS-MONTHAN AFB",
            "state": "AZ",
            "postal_code": "85707",
            "telephone_number": "520-228-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHLER",
        "first_name": "JASON",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2022-02-07",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason.boehler@us.af.mil",
            "affiliation": "N",
            "address_1": "5210 S. Herky Blvd",
            "address_2": "Building 130",
            "city": "Davis-Monthan AFB",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davis-Monthan Afb, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.