Organization
DERIC J. BOSTON, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERIC BOSTON LCSW (OWNER)
(919) 619-1032
Entity
Organization
Contact information
Practice address
1058 W CLUB BLVD, BOX 642, DURHAM, NC 27701-1104
(919) 619-1032
Mailing address
1058 W CLUB BLVD, STE 615, DURHAM, NC 27701-1104
(919) 619-1032
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C006078
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
610643
—
NC
Enumeration date
07/11/2008
Last updated
05/21/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up