Michael Antoine Boulware, LCSW
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2022
- Practice address
- 122 Gateway Blvd, Mooresville, NC 28117
- Practice phone
- Call (206) 399-1493
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Lifestance Health
Mooresville, North Carolina
Find Michael Boulware's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Michael Antoine Boulware is a clinical social worker in Mooresville, North Carolina
Michael Boulware practices at Lifestance Health in Mooresville, North Carolina.
Michael Boulware's NPI, 1619689825, was assigned on December 19, 2022. Michael Boulware holds North Carolina license P018428.
- NPI
- 1619689825NPI Registry (opens in a new tab)
- Medicare PAC ID
- 0244708493
- NPI enumeration date
- December 19, 2022
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (206) 399-1493
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 30
- Medical school graduation
- 2022
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Michael Antoine Boulware practices at Lifestance Health in Mooresville, North Carolina
Michael Boulware's primary practice is Lifestance Health, at 122 Gateway Blvd, Mooresville, NC 28117 in Iredell County. The practice phone is (206) 399-1493.
- Lifestance Health122 Gateway Blvd, Mooresville, NC 28117 · Iredell CountyPhone(206) 399-1493
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Michael Antoine Boulware is affiliated with 2 sites of care and 1 medical group
Michael Boulware's primary practice is Lifestance Health in Mooresville, North Carolina. The medical group on file is LifeStance Health. Dmand AI also links Michael Boulware to 1 more group practice or clinic, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Michael Antoine Boulware's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Michael Boulware practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Lifestance Health | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Michael Antoine Boulware is one of 4,197 clinical social workers in North Carolina
Social worker is Michael Boulware's primary specialty in the NPI Registry, under taxonomy code 1041C0700X. The record also lists clinical. Michael Boulware is licensed in North Carolina.
Specialties and state licenses
- Clinical social worker, North CarolinaPrimary
Clinical social workers near Michael Boulware
Counts of clinical social workers with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Michael Antoine Boulware's patients have a median age of 46
Across all payers, Dmand AI patient panel data puts Michael Boulware's median patient age at 46, with 13% women.
Michael Boulware's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 46
Patient panel by sex, all payers
- Women13%
- Men88%
Source: Dmand AI Patient Panel Data
How Michael Antoine Boulware takes part in Medicare
Michael Boulware accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Michael Antoine Boulware's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Michael Antoine Boulware
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Michael Antoine Boulware's NPI number?
Michael Antoine Boulware's NPI number is 1619689825. It was assigned on December 19, 2022, and it is active in the NPI Registry.
What does Michael Antoine Boulware specialize in?
Michael Antoine Boulware is a clinical social worker in Mooresville, North Carolina. The primary specialty in the NPI Registry is Clinical Social Worker (taxonomy code 1041C0700X).
Where does Michael Antoine Boulware practice?
Michael Boulware practices at 122 Gateway Blvd, Mooresville, NC 28117. Michael Boulware's primary practice is Lifestance Health in Mooresville, North Carolina. Dmand AI also links Michael Boulware to 1 group practice or clinic.
What is Michael Antoine Boulware's office phone number?
The practice phone on file for Michael Boulware is (206) 399-1493.
What is Michael Antoine Boulware's medical license number?
Michael Boulware holds North Carolina license P018428.
What medical group is Michael Antoine Boulware part of?
Michael Boulware is linked to LifeStance Health.
Does Michael Antoine Boulware accept Medicare?
Yes. CMS lists Michael Boulware as accepting Medicare assignment.
How long has Michael Antoine Boulware been practicing?
Michael Boulware graduated from medical school in 2022, 4 years ago.
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