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MR. THOMAS MATTHEW BOSWORTH MSW
NPI 1306906011
Social Worker - Clinical in Rapid City, SD

Active since December 11, 2006Opted out of Medicare · through Jul 1, 2028
420 QUINCY ST, RAPID CITY, SD 57701(605) 343-7755(605) 716-0650 Get Directions Write a Review

NPPES record last updated: April 5, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mr. Thomas Matthew Bosworth Msw NPPES

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

MR. THOMAS MATTHEW BOSWORTH MSW (NPI 1306906011) is an individual clinical provider in Rapid City, South Dakota, licensed in South Dakota (1590) and active in the NPI registry since December 2006. He has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1306906011
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. THOMAS MATTHEW BOSWORTHCredential: MSW
Location Address420 QUINCY STRapid City, SD 57701-3626
Mailing Address420 Quincy St # 215Rapid City, SD 57701-3626 · (605) 343-7755 · Fax (605) 721-8896
Phone(605) 343-7755
Fax(605) 716-0650
Sole ProprietorYes
Enumeration DateDecember 11, 2006
Last NPPES UpdateApril 5, 2020
NPPES CertifiedApril 5, 2020
✔ NPI 1306906011 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 SD · 1590
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.
420 QUINCY ST, Rapid City, SD 57701
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Other Identifiers 1

Medicaid6570593SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Thomas Matthew Bosworth Msw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Thomas Bosworth's NPI number?

The NPI number for Thomas Bosworth is 1306906011. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Thomas Bosworth located?

Thomas Bosworth practices at 420 Quincy St, Rapid City, SD 57701. The listed phone number is (605) 343-7755.

What is Thomas Bosworth's specialty?

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

Is Thomas Bosworth enrolled in Medicare?

No. Thomas Bosworth has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Thomas Bosworth accept?

Health plans from Avera Health Plans and Sanford Health Plan list Thomas Bosworth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Bosworth was last updated on April 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.