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

Lacey Boss

Individual provider Speech-Language Pathologist · NPI 1588496970

Lacey Boss is a Qualified Speech Language Pathologist in Charleston, South Carolina. Graduated from University of South Carolina School of Medicine in 2024, 2 years ago. Practices with Northern Tides Speech and Language LLC, a 6-clinician group and accepts Medicare assignment.

Years since qualifying
2
Trained at
University of South Carolina School of Medicine
In the registry since
2024
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Practice location Address checks out

1744 Sam Rittenberg Blvd
Charleston, SC 29407-4935
Phone: (843) 474-2240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1588496970
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2024
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address392 Sumter St, Charleston, SC 29403-4637

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Northern Tides Speech And Language Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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