MS. ELIZABETH LAUREN BOULOS (NPI# 1669851184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669851184 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH LAUREN BOULOS |
| Credential | LCAS, LCSW |
| Practice Address |
3601 Sweeten Creek Rd Arden NC 28704-2739 |
| Mailing Address |
179 Amethyst Cir Arden NC 28704-1135 |
| Practice Telephone | 8282421007 |
| Practice Fax Number | 8286419242 |
| Mailing Telephone | 8282421007 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
21450 | NC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C011601 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 33 Sharon Lynne Way, Clyde, NC 287218285 | 8284521300 | 8286271307 |
| Street Address |
3601 SWEETEN CREEK RD |
| City | ARDEN |
| State | NC |
| Zip Code | 28704-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801410949 | Lindsey Marie Gates | Dentist | 226 New Airport Rd Ste 30, Arden, NC 28704 | 2020-06-04 |
| 1669025565 | Casey Cho Dds Pllc | Dentist | 150 Airport Rd. Suite 30, Arden, NC 28704 | 2019-07-19 |
| 1700370913 | Eric Seth Shapiro | Chiropractor | 32 Southwicke Dr, Arden, NC 28704 | 2018-06-20 |
| 1285180406 | Adam Herbst | Physical Therapy Assistant | 101 Roberts Lake Circle Apt 105, Arden, NC 28704 | 2016-08-28 |
| 1760820013 | Dove Shoneman | Acupuncturist | 600 Julian Lane, Suite 660, Arden, NC 28704 | 2013-06-10 |
| 1710288378 | Higher Ground Pediatric Therapy, Pllc | Community/Behavioral Health | 3749 Sweeten Creek Road Suites 1-2, Arden, NC 28704 | 2010-11-12 |
| 1962642868 | Pandora M Hodge | Physician Assistant | 436 Airport Road, Suite 20, Arden, NC 28704 | 2009-03-05 |
| 1710135009 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 60 Airport Rd., Asheville, NC 28704 | 2008-08-29 |
| 1679732598 | Patty Ann Dalton | Social Worker | 126 Locust Court, Arden, NC 28704 | 2008-06-05 |
| 1053501783 | Roger A Wallace | Psychologist | 410 Mills Gap Rd., Arden, NC 28704 | 2007-07-30 |
| Find all providers in zip 28704 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596752 | Sarah Gettys | Social Worker | 3 Gower Ln, Arden, NC 28704-9313 | 2020-10-21 |
| 1457992836 | Melissa Kay Ciocian | Social Worker | 8 Hickory Creek Ct, Arden, NC 28704-3028 | 2019-10-07 |
| 1124536164 | Chriss Benay Wetherington | Social Worker | 1 Covewood Ct, Arden, NC 28704-3011 | 2018-01-11 |
| 1619229762 | Molly Hendery Pitman | Social Worker | 96 Appian Way, Arden, NC 28704-2702 | 2012-10-12 |
| 1104154160 | Jonathan Frederick Mcduffie | Social Worker | 36 Cherry St, Arden, NC 28704-2735 | 2009-12-01 |
| 1255510947 | Lindsay Nichole Spratt | Social Worker | 233 Royal Pines Dr, Arden, NC 28704-2830 | 2007-10-30 |
| 1871713081 | Louise Madeline Bechtoldt | Social Worker | 115 Honey Locust Dr, Arden, NC 28704-9794 | 2007-04-27 |
| 1275546715 | Debra Rick O'connor | Social Worker | 30 Hidden Hills Way, Arden, NC 28704 | 2006-08-14 |
| 1841253069 | Arianne Keene | Social Worker | 300 Long Shoals Rd Apt 5g, Arden, NC 28704-7719 | 2006-04-10 |
| 1891776654 | Shelton N Woodard IIi | Social Worker | 108 Averys Creek Ln, Arden, NC 28704-9479 | 2005-11-09 |
| Find all providers in ARDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.