Deric J. Boston, Lcsw
Deric J. Boston, Lcsw is a healthcare organization registered as Community/Behavioral Health Agency in Durham, NC, holding Type 2 (organization) NPI 1891959524 since 2008. The authorized official on file is Deric Boston, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1891959524 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Deric J. Boston, Lcsw |
| Practice address | 1058 W CLUB BLVD, BOX 642, Durham, NC, 27701 |
| Phone | 9196191032 |
| Enumeration date | 2008-07-11 |
| Last updated in NPPES | 2012-05-21 |
Authorized official
| Name | Deric Boston |
|---|---|
| Title | Owner |
| Phone | 9196191032 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Primary | C006078 | NC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610643 | Medicaid | NC | — |
Copy-ready billing details
Provider: Deric J. Boston, Lcsw NPI: 1891959524 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 1058 W CLUB BLVD, BOX 642, Durham, NC, 27701
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205819547 | Optometric Eye Care Center of Durham PA | Organization | Optometrist | Durham, NC |
| 1275580136 | Family Counseling Service of Durham | Organization | Public Health or Welfare Agency | Durham, NC |
| 1891859179 | Family Counseling Service of Durham, Inc. | Organization | Clinical Social Worker | Durham, NC |
| 1871640615 | Natalie Peacock | Individual | Clinical Social Worker | Durham, NC |
| 1437290426 | Phs | Organization | Clinical Medical Laboratory | Durham, NC |
| 1841521911 | Randy Robinson | Individual | Addiction (Substance Use Disorder) Counselor | Durham, NC |
| 1629360748 | Hilda Williams | Individual | Clinical Social Worker | Durham, NC |
| 1225381338 | Lei Ventures,LLC | Organization | In Home Supportive Care Agency | Durham, NC |
Verify this record
Cross-check NPI 1891959524 against the authoritative CMS record: view Deric J. Boston, Lcsw on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Deric J. Boston, Lcsw located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-05-21.