Kathryne Boerman, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

213 Hubbard St
Allegan, MI 49010-1320

Phone

(269) 673-1896

NPI assigned

May 1, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• West Michigan Eating Disorder Specialists

  • Social Worker
  • Wyoming, MI
  • NPI 1477292480
  Medicare reassignment NPD

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1164910550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 FULTON ST W APT 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495046260",
            "telephone_number": "616-405-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HUBBARD ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101320",
            "telephone_number": "269-673-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERMAN",
        "first_name": "KATHRYNE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Christian Services
• Mohamed A Beydoun, PHARMD
• Brian Denton Bigelow
• Marcus Blass, MD
• Shenise Marie Blue
• Fred Boothby, CNP
• Alexia Bordeau, LLMSW, BSW
• Makenna Bos, BCBA
• Kimberly Renee Bouchard, RN, AEMT
• Michelle Boutain, CHW

• Clinical Social Worker in Allegan, MI
• Providers in Allegan, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.