Individual
NOAH BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4730 BECKNER RD, SANTA FE, NM 87507-3691
(505) 989-4500
(505) 443-8313
Mailing address
28 PENN ST, PROVIDENCE, RI 02909-1002
(713) 248-4164
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW.0009925204
CO
1041C0700X
Clinical Social Worker
ISW04221
RI
1041C0700X
Clinical Social Worker
Primary
SWB-2026-0200
NM
Other
Enumeration date
09/24/2024
Last updated
03/05/2026
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