Rose M. Boatman, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-05091 Issued in NM

Practice address

202 E Blodgett St
Carlsbad, NM 88220-6302

Phone

(505) 628-3034

Fax

(505) 628-3034

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1972676542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205218",
            "telephone_number": "575-885-3082",
            "fax_number": "575-885-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E BLODGETT ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882206302",
            "telephone_number": "505-628-3034",
            "fax_number": "505-628-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATMAN",
        "first_name": "ROSE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-05091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62973762",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00NM00JL25",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "NM202650",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• BL Mounce Counseling Services
• Merna G Black, LM, CPM
• Chera Blackmon
• Susan Blankenship, R.N., MSN., NP-C
• Danielray Moises Blea Smith, LCSW
• Charity Bock, MSN, APRN, FNP-C
• Amber Bojorquez, RN
• Amanda Bonilla
• Mary Hunt Borganelli, CRNP
• Dawnell R Bourque

• Clinical Social Worker in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; 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.