TERESA ANN BOSHEARS MSW NPI 1396317723

NPI Information

NPI: 1396317723
Provider Name: TERESA ANN BOSHEARS, MSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
18718 MIDDLETOWN RD
PARKTON, MD
ZIP 21120
Phone: (443) 889-9586
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Teresa Ann Boshears, MSW is a mental health counselor in Parkton, MD. Teresa Ann Boshears, MSW NPI is 1396317723. 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:

18718 MIDDLETOWN RD
PARKTON, MD
ZIP 21120-088
Phone: (443) 889-9586

The enumeration date for this NPI number is 7/14/2021 and was last updated on 7/27/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	99103120A	INDIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1881848448	OTHER	INDIANA	SCC NPI
2	26-3532969	OTHER	INDIANA	SCC TAX ID
3	200929150A	MEDICAID	INDIANA
4	261QM0801X	OTHER	INDIANA	SCC TAXONOMY

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: 5/5/2024

NPI Synchronization or Removal

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