Active NPI
Brooke E Boss, APSW, RBT, MSW
- Behavior Analyst
- Delavan, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- N4103 Dam Rd
Delavan, WI 53115-2979 - Phone
- (262) 441-1198
- NPI assigned
- Sep 2, 2020
- Last updated
- Oct 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 132848-121 | WI | |
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
N4103 Dam Rd
Delavan, WI 53115-2979
Mailing address
N4103 Dam Rd
Delavan, WI 53115-2979
Phone (262) 441-1198
Other practice location 1
N2846 State Road 67
Williams Bay, WI 53191-3771
Phone (262) 245-5608
Other practice location 2
903 Mineral Point Ave
Janesville, WI 53548-2970
Phone (608) 756-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
29624 Network PL
Chicago, IL 60673-1296
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132848-121 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Past | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
903 Mineral Point Ave
Janesville, WI 53548
Phone (608) 756-5555
N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535
N2846 State Road 67
Williams Bay, WI 53191
Phone (262) 245-5608
Interoperability endpoints
- bboss78012@direct.mhemail.org
Organizations & group practices 3
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.
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
dba Mercy Hospital Janesville
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1982218327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N4103 DAM RD",
"city": "DELAVAN",
"state": "WI",
"postal_code": "531152979",
"telephone_number": "262-441-1198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N4103 DAM RD",
"city": "DELAVAN",
"state": "WI",
"postal_code": "531152979",
"telephone_number": "262-441-1198"
}
],
"practiceLocations": [
{
"address_1": "N2846 State Road 67",
"address_purpose": "LOCATION",
"city": "Williams Bay",
"state": "WI",
"postal_code": "531913771",
"country_code": "US",
"telephone_number": "262-245-5608",
"fax_number": "262-245-5648",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "903 Mineral Point Ave",
"address_purpose": "LOCATION",
"city": "Janesville",
"state": "WI",
"postal_code": "535482970",
"country_code": "US",
"telephone_number": "608-756-5555",
"fax_number": "608-756-0174",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSS",
"first_name": "BROOKE",
"middle_name": "E",
"credential": "APSW, RBT, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-02",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "132848-121",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delavan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.