DELORA K. BOAZ (LCSW, CADC) – Social Worker, NPI 1285637389

DELORA K. BOAZ (LCSW, CADC) is a healthcare provider. based in Louisville, Kentucky. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW, CADC. They hold a License No. 1369 (KY). The NPI Number for DELORA K. BOAZ (LCSW, CADC) is 1285637389

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DELORA K. BOAZ (LCSW, CADC)
NPI
1285637389
Phone
(502) 583-3951
Address
600 S PRESTON ST
Enumeration Date
23 May 2005
Last Update Date
13 November 2013

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
5025891100
Graduation Year
1993 (33 years ago)
PAC ID
1254232721
Group Practice PAC ID
1759294424
Professional Enrollment ID
I20040407001088
Address ID
KY402111333LO2650XBROA300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:21State licenses:2Digital endpointsOther names

1,195 CLINICAL SOCIAL WORKER in KY

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Provider Addresses for DELORA K. BOAZ (LCSW, CADC)

  • Centerstone Addiction Recovery Center, 600, South Preston Street, Louisville, Jefferson County, Kentucky, 40202, United States of America

    LOUISVILLE, KY 402021716

    Phone: (502) 583-3951

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040407001088IClinical Social WorkerKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759294424View full group profile

Reviews

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Frequently asked questions

How is DELORA K. BOAZ (LCSW, CADC) identified in CMS data?
CMS-hosted NPPES data lists DELORA K. BOAZ (LCSW, CADC) with NPI 1285637389.
Does the file indicate DELORA K. BOAZ (LCSW, CADC) is practicing under active NPI?
Directory data currently reports DELORA K. BOAZ (LCSW, CADC) as active.
What is DELORA K. BOAZ (LCSW, CADC) best known for clinically?
Directory data describes DELORA K. BOAZ (LCSW, CADC) with Social Worker. Clinical services aligned with this taxonomy classification.
What area does DELORA K. BOAZ (LCSW, CADC) serve?
DELORA K. BOAZ (LCSW, CADC)'s listing highlights Louisville, Kentucky; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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