Douglas J Boersen, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801089998 Issued in MI

Practice address

3042 Trafford Rd
Royal Oak, MI 48073-6812

Phone

(248) 310-9632

NPI assigned

Jul 7, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Wayne State University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Behavioral Medicine PLLCGroup PAC ID 8325069305, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michigan Behavioral Medicine PLLC

  • Psychiatry Physician
  • Troy, MI
  • NPI 1144317116

  Single Specialty

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1023741055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3042 TRAFFORD RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736812",
            "telephone_number": "248-310-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 TRAFFORD RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736812",
            "telephone_number": "248-310-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERSEN",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Boatman
• Erika London Bocknek, PHD, LMFT
• John Bodine, PA
• Body Mechanics Physical Therapy, PC
• Bodyspecific Inc.
• Mary Beth Boeson, CRNA
• Emily Marie Bogart
• Alexander Hamead Bogherie II, CRNA
• Megan Elizabeth Bohlinger, MA, CCC-SLP
• Hassan Bokaie, M.D

• Clinical Social Worker in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.