Individual provider Active NPI

Starr S Bouyer

  • Clinical Social Worker
  • Euclid, OH
National Provider Identifier
1073394045
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.2504474-TRNE Issued in OH
Practice address
27801 Euclid Ave Ste 600
Euclid, OH 44132-3548
Phone
(216) 337-1411
NPI assigned
Oct 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S.2504474-TRNE OH Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

27801 Euclid Ave Ste 600
Euclid, OH 44132-3548

Mailing address

27801 Euclid Ave Ste 600
Euclid, OH 44132-3548
Phone (216) 337-1411

Other identifiers 1

IdentifierTypeStateIssuer
0029457MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.2504474-TRNEOHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1073394045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27801 EUCLID AVE STE 600",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323548",
            "telephone_number": "216-337-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27801 EUCLID AVE STE 600",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323548",
            "telephone_number": "216-337-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUYER",
        "first_name": "STARR",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-06",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2504474-TRNE",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029457",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.