Active NPI
Mindy Ellen Boslow, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1972841211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R030937-1
- Practice address
- 210 Riverside Dr
Suite 3G
New York, NY 10025-6802 - Phone
- (212) 865-2473
- NPI assigned
- Jan 22, 2013
- Last updated
- Jan 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R030937-1 | NY | Primary |
Addresses
Primary practice location
210 Riverside Dr
Suite 3G
New York, NY 10025-6802
Mailing address
210 Riverside Drive
Apt. 7B
New York, NY 10025
Phone (212) 662-6168
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R030937-1 | NY | MD | Clinical Social Worker |
| 030937 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1972841211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 RIVERSIDE DRIVE",
"address_2": "APT. 7B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-662-6168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 RIVERSIDE DR",
"address_2": "SUITE 3G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256802",
"telephone_number": "212-865-2473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSLOW",
"first_name": "MINDY",
"middle_name": "ELLEN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-22",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R030937-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.