Angelica Boston, RSW
Case Manager/Care Coordinator in Ruston, LA. Individual provider (NPI-1).
NPI number1124904032
StatusActive
Last updated in NPPESAug 19, 2025
Details
- NPI
- 1124904032
- Entity type
- Individual (NPI-1)
- Name
- Angelica Boston
- Credential
- RSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2025
- Certification date
- Aug 19, 2025
- Last updated
- Aug 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 104100000X | Social Worker | – | – |
Practice location
1406 S Vienna StRuston, LA 71270-6428
Phone 318-224-9200 · Fax 318-224-9201
Mailing address
282 Hampton RdArcadia, LA 71001-5633
Phone 318-548-2213
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