Individual provider Active NPI

Barbara Bosey, LCSW, PH.D.

  • Social Worker
  • Fayetteville, NC
National Provider Identifier
1972630002
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
C001771 Issued in NC
Practice address
3406 Boone TRL
Fayetteville, NC 28306-2138
Phone
(910) 829-0443
Fax
(910) 829-0446
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X C001771 NC Primary

Addresses

Primary practice location

3406 Boone TRL
Fayetteville, NC 28306-2138

Mailing address

3406 Boone TRL
Fayetteville, NC 28306-2138
Phone (910) 829-0443

Other identifiers 1

IdentifierTypeStateIssuer
6002023MedicaidNC

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C001771NCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Youth and Family Residential Treatment Center Inc. Past Accepting new patients
Associates for Family Enrichment, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972630002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 BOONE TRL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062138",
            "telephone_number": "910-829-0443",
            "fax_number": "910-829-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 BOONE TRL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062138",
            "telephone_number": "910-829-0443",
            "fax_number": "910-829-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSEY",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "LCSW, PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C001771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002023",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.