Individual provider Active NPI

Danielle M Boyer, LCSW

  • Clinical Social Worker
  • Millsboro, DE
National Provider Identifier
1063863173
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001633 Issued in DE
Practice address
24077 Country Living Rd Ste 2
Millsboro, DE 19966-3188
Phone
(302) 224-1400
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X Q1-0001633 DE Primary

Addresses

Primary practice location

24077 Country Living Rd Ste 2
Millsboro, DE 19966-3188

Mailing address

121 Seawinds Dr
Dagsboro, DE 19939-9612
Phone (814) 254-7977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181017001760 MD Practitioner - Clinical Social Worker 5092067199 Reassigns benefits to 1 organization
I20240424004163 DE Practitioner - Clinical Social Worker 5092067199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Atlantic Behavioral Health, LLCGroup PAC ID 3375620016, 88 clinicians

Practice addresses (Care Compare)

24077 Country Living Rd
Suite 2
Millsboro, DE 19966-3188
Phone (302) 224-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Personal Wellness Center CurrentSince Sep 11, 2018 Accepting new patients
Mid-Atlantic Behavioral Health, LLC CurrentSince Oct 29, 2024 Accepting new patients

Locations

24077 Country Living Rd
Ste 2
Millsboro, DE 19966
Phone (302) 772-5132

910 S Chapel St
Ste 102
Newark, DE 19713
Phone 3022241400 ext. 614

6508 Deer Pointe Dr
Ste 4C
Salisbury, MD 21804
Phone (410) 742-6016

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1063863173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SEAWINDS DR",
            "city": "DAGSBORO",
            "state": "DE",
            "postal_code": "199399612",
            "telephone_number": "814-254-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24077 COUNTRY LIVING RD STE 2",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663188",
            "telephone_number": "302-224-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "DANIELLE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

Verify at the official NPI Registry.