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DELORA K. BOAZ LCSW CADC NPI 1285637389


NPI Information

NPI: 1285637389
Provider Name: DELORA K. BOAZ, LCSW, CADC
Classification: Social Worker - 104100000X
Entity Type: Individual

PECOS Registration: Yes

Address:
600 S PRESTON ST
LOUISVILLE, KY
ZIP 40202
Phone: (502) 583-3951
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Delora K. Boaz, LCSW, CADC is a social worker in Louisville, KY. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Delora K. Boaz, LCSW, CADC NPI is 1285637389. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 S PRESTON ST
LOUISVILLE, KY
ZIP 40202-716
Phone: (502) 583-3951

The NPI 1285637389 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 11/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)0008KENTUCKYNo
2104100000XSocial Worker1369KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1701764000OTHERMAGELLAN MIS
278903689MEDICAIDKENTUCKY
350704000OTHERMAGELLAN MIS GROUP
4CK2274OTHERKENTUCKYMEDICARE RAILROAD GROUP
50676439MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
6000000056294OTHERANTHEM GROUP
782900176MEDICAIDKENTUCKY
82748490000OTHERKENTUCKYPASSPORT GROUP
96764OTHERKENTUCKYMEDICARE GROUP
102748490000OTHERKENTUCKYPASSPORT ADVANTAGE
1182000902MEDICAIDKENTUCKY
12000000312667OTHERANTHEM
1365927857MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.