Kelly Boehms, ASW
Social Worker, Clinical in Arcata, CA. Individual provider (NPI-1).
NPI number1700657244
StatusActive
Last updated in NPPESJan 12, 2024
Details
- NPI
- 1700657244
- Entity type
- Individual (NPI-1)
- Name
- Kelly Boehms
- Credential
- ASW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2024
- Certification date
- Jan 12, 2024
- Last updated
- Jan 12, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 120354 | CA | Yes |
Practice location
920 Samoa Blvd Ste 209Arcata, CA 95521-6696
Phone 707-502-4046
Mailing address
920 Samoa Blvd Ste 209Arcata, CA 95521-6696
Phone 707-502-4046
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 65 Clinical Social Worker providers in Arcata · All 977 providers in Arcata
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