NPI 1942610522 · live from the CMS NPI Registry
Rebecca E. Boardman, LICSW
Social Worker, Clinical in Charleston, WV. National Provider Identifier 1942610522, active.
NPI record
| NPI | 1942610522 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 511 Morris St, Charleston, WV 25301 |
| Practice phone | 304-341-0511 |
| Mailing address | 2157 Greenbrier St, Charleston, WV 25311 |
| Enumerated | May 5, 2014 |
| Last updated | October 1, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | CP00942740 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.