Individual provider Active NPI

Meagan Boersma, MSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1144681404
Registry record updated Feb 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW82680 Issued in CA
Practice address
2498 Roll Dr # 2656
San Diego, CA 92154-7279
Phone
(909) 417-7484
NPI assigned
Mar 15, 2016
Last updated
Feb 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW82680 CA Primary

Addresses

Primary practice location

2498 Roll Dr # 2656
San Diego, CA 92154-7279

Mailing address

2498 Roll Dr # 2656
San Diego, CA 92154-7279
Phone (909) 417-7484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20220117000285 CA Practitioner - Clinical Social Worker 9931591369 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW82680CAMDClinical Social Worker
82680CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Zachary, D.O., P.C. CurrentSince Jan 1, 2022 Accepting new patients
CSP-Corcoran Past Accepting new patients
Corrections and Rehabilitation-Headquarters PastSince Aug 1, 2019 Accepting new patients

Locations

7111 N Fresno St
Ste 200
Fresno, CA 93720
Phone (415) 353-6817

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771632000000",
    "number": "1144681404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2498 ROLL DR # 2656",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921547279",
            "telephone_number": "909-417-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2498 ROLL DR # 2656",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921547279",
            "telephone_number": "909-417-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERSMA",
        "first_name": "MEAGAN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW82680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.