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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BRENDAN JAMES BOATMAN
NPI 1225956436
Social Worker - Clinical in Winston Salem, NC

Active since July 07, 2026
250 EXECUTIVE PARK BLVD STE 120, WINSTON SALEM, NC 27103(336) 608-4037(336) 893-0569 Get Directions Write a Review

NPPES record added: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brendan James Boatman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDAN JAMES BOATMAN (NPI 1225956436) is an individual clinical provider in Winston Salem, North Carolina, licensed in North Carolina (P023825) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1225956436
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRENDAN JAMES BOATMAN
Location Address250 EXECUTIVE PARK BLVD STE 120Winston Salem, NC 27103-1534
Mailing Address250 Executive Park Blvd Ste 120Winston Salem, NC 27103-1534 · (336) 608-4037 · Fax (336) 893-0569
Phone(336) 608-4037
Fax(336) 893-0569
Sole ProprietorNo
Enumeration DateJuly 7, 2026
NPPES CertifiedJuly 7, 2026
✔ NPI 1225956436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · P023825
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
250 EXECUTIVE PARK BLVD STE 120, Winston Salem, NC 27103
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA PATRICE SHELTON MS
Counselor (Mental Health)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 770-2477
AVA LILYAN COX LCSWA
Social Worker (Clinical)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 770-2477
MONTEOUS JERELL CHEELY LMFTA
Marriage & Family Therapist
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 702-4777
LSBF PROFESSIONAL COUNSELING SERVICES, PLLC
Community/Behavioral Health
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 266-3289
ELIZABETH WAGNER MECHAM LCMHC-A
Counselor (Mental Health)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 608-4037
KEOTIA EVETTE SMITHERMAN CASTERLOW LCMHCA
Counselor (Mental Health)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 509-7616
KESEAN LEGRANT MOBLEY LCSWA
Social Worker (Clinical)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 770-2477
ALEXUS NACOLE MOORE MSW, LCSWA
Social Worker (Clinical)
250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 671-7420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brendan Boatman's NPI number?

The NPI number for Brendan Boatman is 1225956436. It was assigned to this individual provider in the NPPES registry on July 7, 2026.

Where is Brendan Boatman located?

Brendan Boatman practices at 250 Executive Park Blvd Ste 120, Winston Salem, NC 27103. The listed phone number is (336) 608-4037.

What is Brendan Boatman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Brendan Boatman was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.