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DERIC J. BOSTON, LCSW
NPI 1891959524
Community/Behavioral Health in Durham, NC

Active since July 11, 2008
1058 W CLUB BLVD, BOX 642, DURHAM, NC 27701(919) 619-1032 Get Directions Write a Review

NPPES record last updated: May 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deric J. Boston, Lcsw NPPES

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

DERIC J. BOSTON, LCSW (NPI 1891959524) is a healthcare organization registered as a community/behavioral health in Durham, North Carolina and active in the NPI registry since July 2008. The organization lists Deric Boston, Owner, as its authorized official.

NPPES Registry Identity

NPI1891959524
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDERIC J. BOSTON, LCSW
Location Address1058 W CLUB BLVD, BOX 642Durham, NC 27701-1104
Mailing Address1058 W Club Blvd, Ste 615Durham, NC 27701-1104 · (919) 619-1032
Phone(919) 619-1032
Organization SubpartNo
Authorized OfficialDeric BostonOwner · (919) 619-1032
Enumeration DateJuly 11, 2008
Last NPPES UpdateMay 21, 2012
✔ NPI 1891959524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NC · C006078
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1058 W CLUB BLVD, Durham, NC 27701
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Other Identifiers 1

Medicaid610643NC

Other Providers at the Same Location NPPES 13

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

EMOWELLNESS INCORPORATED
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1058 W CLUB BLVD, SUITE 614
DURHAM, NC 27701
Durham County (919) 416-3737
OPTOMETRIC EYE CARE CENTER OF DURHAM PA
Optometrist
1058 W CLUB BLVD
DURHAM, NC 27701
Durham County (919) 286-7732
LEI VENTURES,LLC
In Home Supportive Care
1058 W CLUB BLVD, 220A
DURHAM, NC 27701
Durham County (919) 286-2222
FAMILY COUNSELING SERVICE OF DURHAM
Public Health or Welfare
1058 W CLUB BLVD, SUITE 6662
DURHAM, NC 27701
Durham County (919) 598-3966
KHR BEAUTY& HAIRLOSS CENTER LLC
Specialist (Prosthetics Case Management)
1058 W CLUB BLVD, 623
DURHAM, NC 27701
Durham County (919) 423-5376
PHS
Clinical Medical Laboratory
1058 W CLUB BLVD
DURHAM, NC 27701
Durham County (919) 290-1155
HILDA LAVETTE WILLIAMS LCSW
Social Worker (Clinical)
1058 W CLUB BLVD, STE 602
DURHAM, NC 27701
Durham County (919) 638-4831
AVA V HINTON PLLC
Counselor (Professional)
1058 W CLUB BLVD, STE 602
DURHAM, NC 27701
Durham County (919) 286-2283

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 Deric J. Boston, Lcsw's NPI number?

The NPI number for Deric J. Boston, Lcsw is 1891959524. It was assigned to this organization in the NPPES registry on July 11, 2008.

Where is Deric J. Boston, Lcsw located?

Deric J. Boston, Lcsw is located at 1058 W Club Blvd Box 642, Durham, NC 27701. The listed phone number is (919) 619-1032.

What is Deric J. Boston, Lcsw's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Deric J. Boston, Lcsw was last updated on May 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.