Active NPI
Stefanie F Boisvert
- Social Worker
- Stoneham, MA
National Provider Identifier
1124283122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- N/A
- Practice address
- 125 North St
Stoneham, MA 02180-2151 - Phone
- (978) 424-7384
- NPI assigned
- Jul 20, 2008
- Last updated
- Dec 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | N/A | NU | Primary |
| Clinical Social Worker | 1041C0700X | NU |
Addresses
Primary practice location
125 North St
Stoneham, MA 02180-2151
Mailing address
125 North St
Stoneham, MA 02180-2151
Phone (974) 424-7384
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1124283122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 NORTH ST",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021802151",
"telephone_number": "974-424-7384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 NORTH ST",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021802151",
"telephone_number": "978-424-7384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOISVERT",
"first_name": "STEFANIE",
"middle_name": "F",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-20",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": "N/A",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stoneham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.