Boardman, Rebecca E.

Boardman, Rebecca E. is an individual health care provider with primary practice located at 511 Morris St , Charleston WV 25301-1326. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boardman, Rebecca E. can be contacted via phone (304) 341-0511.

Contact Information

Primary practice address
511 Morris St Charleston WV 25301-1326
Fax: (304) 341-0499
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CP00942740 West Virginia

Profile Details

NPI number 1942610522
LBN Legal business name Boardman, Rebecca E.
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2014
Last updated Oct 1st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942610522 NPPES
West Virginia MEDICAID 0005355002

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