BOSCO THERAPY LCSW PC
NPI 1245967025
Social Worker - Clinical in San Diego, CA

Active since August 02, 2022
1901 1ST AVE, SAN DIEGO, CA 92101(760) 523-9000 Get Directions Write a Review

NPPES record last updated: February 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 22, 2024, Feb 2, 2023, Nov 17, 2022 and 2 more (5 updates tracked since 2022).

About Bosco Therapy Lcsw Pc NPPES

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

BOSCO THERAPY LCSW PC (NPI 1245967025), doing business as Starfish Mental Health, is a healthcare organization registered as a clinical in San Diego, California and active in the NPI registry since August 2022. The organization lists Robert Basque, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245967025
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBOSCO THERAPY LCSW PC
Location Address1901 1ST AVESan Diego, CA 92101-2356
Mailing Address1901 1st AveSan Diego, CA 92101-2356 · (760) 523-9000
Organization SubpartNo
Authorized OfficialRobert BasqueCeo · (760) 523-9000
Enumeration DateAugust 2, 2022
Last NPPES UpdateFebruary 21, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2026
✔ NPI 1245967025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1901 1ST AVE, San Diego, CA 92101

Other Names 1

Doing Business AsStarfish Mental Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bosco Therapy Lcsw Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bosco Therapy Lcsw PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1811612021
1901 1ST AVE FL 2
San Diego, CA 92101
(760) 523-9000
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bosco Therapy Lcsw PC's NPI number?

The NPI number for Bosco Therapy Lcsw PC is 1245967025. It was assigned to this organization in the NPPES registry on August 2, 2022. The provider is doing business as Starfish Mental Health.

Where is Bosco Therapy Lcsw PC located?

Bosco Therapy Lcsw PC is located at 1901 1st Ave, San Diego, CA 92101. The listed phone number is (760) 523-9000.

What is Bosco Therapy Lcsw PC's specialty?

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

Is Bosco Therapy Lcsw PC enrolled in Medicare?

Yes. Bosco Therapy Lcsw PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bosco Therapy Lcsw PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Bosco Therapy Lcsw PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bosco Therapy Lcsw PC was last updated on February 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.