Judie Lorraine Boman in Dublin - Clinical
Judie Lorraine Boman - NPI 1467540195
Judie Lorraine Boman is a Clinical in Dublin, California. Judie Lorraine Boman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judie Lorraine Boman is 1467540195. The last update date is 2007-07-08.
Judie Lorraine Boman's current location address is 11809 Southwick Ct, Dublin, California. You can contact this provider via phone number 4157219908. The mailing address for Judie Lorraine Boman is 11809 Southwick Ct, Dublin, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judie Lorraine Boman |
|---|---|
| Address | 11809 Southwick Ct, Dublin, California |
| Phone Number | 4157219908 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1467540195 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11809 Southwick Ct |
|---|---|
| City | Dublin |
| State | California (CA) |
| Post Code | 945681082 |
| Phone Number | 4157219908 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS19424 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10942982 | CA | CAQH GEOACCESS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Judie Lorraine Boman by the Centers for Medicare & Medicaid Services?
The Judie Lorraine Boman has been issued the NPI (National Provider Identifier) 1467540195, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Judie Lorraine Boman's facilities are situated?
The facilities of Judie Lorraine Boman are physically located at the following address: 11809 Southwick Ct, Dublin, CA, 945681082.
What is Judie Lorraine Boman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Judie Lorraine Boman is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did the Judie Lorraine Boman receive its 1467540195?
The Judie Lorraine Boman was issued its 1467540195 on 2006-10-10, which is the date when the organization was assigned this unique identifier.
As of what date were the Judie Lorraine Boman's details last updated?
The information pertaining to the Judie Lorraine Boman, including its address, specialty, and other details, was most recently updated on 2007-07-08.