Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DELORA K. BOAZ LCSW, LCADC
NPI 1285637389
Social Worker - Clinical in Louisville, KY

Q: What is Delora Boaz's NPI number?

The NPI number for Delora Boaz is 1285637389. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Q: What is Delora Boaz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Delora Boaz was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment

708 MAGAZINE ST STE 100, LOUISVILLE, KY 40203(502) 589-8926(502) 585-4218 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Delora K. Boaz Lcsw, Lcadc NPPES

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

DELORA K. BOAZ LCSW, LCADC (NPI 1285637389) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (1369) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (1993).

NPPES Registry Identity

NPI1285637389

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameDELORA K. BOAZCredential: LCSW, LCADC

Location Address708 MAGAZINE ST STE 100Louisville, KY 40203-3779

Mailing Address10401 Linn Station Rd Ste 100Louisville, KY 40223-3842 · (502) 589-8600 · Fax (502) 589-8745

Phone(502) 589-8926

Fax(502) 585-4218

Sole ProprietorYes

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1993

Enumeration DateMay 23, 2005

Last NPPES UpdateSeptember 2, 2026

NPPES CertifiedSeptember 2, 2026

✔ NPI 1285637389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in KY · 1369

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0008 (KY)

Also ListedSocial WorkerTaxonomy 104100000X · License 1369 (KY)

708 MAGAZINE ST STE 100, Louisville, KY 40203

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Other Identifiers 12

Medicaid65927857KY

Other50704000Magellan Mis Group

Other701764000Magellan Mis

Medicaid82000902KY

Other2748490000KY · Passport Advantage

Other2748490000KY · Passport Group

Medicaid82900176KY

OtherCK2274KY · Medicare Railroad Group

Other000000056294Anthem Group

Medicaid78903689KY

Other000000312667Anthem

Other6764KY · Medicare Group

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Delora K. Boaz Lcsw, Lcadc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254232721

PECOS Enrollment IDI20040407001088

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.76 – $162.27

Typical copayment $0.00 (range $13.19 – $40.56)

Most-billed visit code NA

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

LUCINDA KIPER

Social Worker (Clinical)