Individual provider Active NPI

Jonne Allyson Boone, LCSW, BCD

  • Clinical Social Worker
  • Wake Forest, NC
National Provider Identifier
1972673978
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000734 Issued in NC
Practice address
523 Wait Ave
Wake Forest, NC 27587-2727
Phone
(919) 570-0312
Fax
(919) 570-0382
NPI assigned
Nov 8, 2006
Last updated
Jun 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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 C000734 NC Primary

Addresses

Primary practice location

523 Wait Ave
Wake Forest, NC 27587-2727

Mailing address

523 Wait Ave
Wake Forest, NC 27587-2727
Phone (919) 570-0312

Other identifiers 4

IdentifierTypeStateIssuer
B6628OtherNCMEDCOST
131N8OtherNCBCBS
53123OtherNCCIGNA
60-02093MedicaidNC

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040428001447 NC Practitioner - Clinical Social Worker 1456348697 Practice locations: Wake Forest, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

523 Wait Ave
Wake Forest, NC 27587-2727
Phone (919) 570-0312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C000734NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Corbett, Psychiatric Nurse Practitioner, PLLC PastSince Jun 21, 2012 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1972673978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 WAIT AVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872727",
            "telephone_number": "919-570-0312",
            "fax_number": "919-570-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 WAIT AVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872727",
            "telephone_number": "919-570-0312",
            "fax_number": "919-570-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "JONNE",
        "middle_name": "ALLYSON",
        "name_prefix": "Mrs.",
        "credential": "LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B6628",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "131N8",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "53123",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60-02093",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.