Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deric J Boston, LCSW

Individual provider Clinical Social Worker · NPI 1861630816

Deric J Boston, LCSW is a Clinical Social Worker in Cary, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2009
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

110 Iowa Ln Ste 202
Cary, NC 27511
Phone: (919) 619-1032
Fax: (919) 465-2307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C006078 (NC)

Record details

NPI number1861630816
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 29, 2009
Last updated in NPPESJanuary 29, 2009
Mailing address110 Iowa Lane, Suite 202, Cary, NC 27511

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