Active NPI
Paula Lyn Boyer, MSW
- Clinical Social Worker
- State College, PA
National Provider Identifier
1144351784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CWO14913
- Practice address
- 320 Rolling Ridge Dr
Suite 100
State College, PA 16801-7641 - Phone
- (814) 867-0670
- Fax
- (814) 867-7616
- NPI assigned
- Mar 7, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CWO14913 | PA | Primary |
Addresses
Primary practice location
320 Rolling Ridge Dr
Suite 100
State College, PA 16801-7641
Mailing address
320 Rolling Ridge Dr
Suite 100
State College, PA 16801-7641
Phone (814) 867-0670
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1825665 | Other | PA | HIGHMARK FEDERAL |
| 2227772 | Other | PA | CIGNA BEHAVIORAL HEALTH |
| 276957 | Other | PA | COMPSYCH |
| MHS548772 | Other | PA | VALUE OPTIONS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CWO14913 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222819200000",
"number": "1144351784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 ROLLING RIDGE DR",
"address_2": "SUITE 100",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017641",
"telephone_number": "814-867-0670",
"fax_number": "814-867-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 ROLLING RIDGE DR",
"address_2": "SUITE 100",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017641",
"telephone_number": "814-867-0670",
"fax_number": "814-867-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYER",
"first_name": "PAULA",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2008-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CWO14913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK FEDERAL",
"identifier": "1825665",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2227772",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "276957",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "MHS548772",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.