Megan L Boelzner, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

118223 Issued in MA

Practice address

78 South St # L1
Wrentham, MA 02093-2119

Phone

(603) 345-9442

NPI assigned

Aug 12, 2009

Last updated

Mar 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Passport Personal Wellness LLC

  • Clinical Social Worker
  • North Attleboro, MA
  • NPI 1083459424
  NPD Authorized official

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1205068079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 OLD WEST CENTRAL ST APT B5",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020382940",
            "telephone_number": "603-345-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 SOUTH ST # L1",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020932119",
            "telephone_number": "603-345-9442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Warren St",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018522208",
            "country_code": "US",
            "telephone_number": "978-452-1736 x97",
            "fax_number": "978-452-6625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOELZNER",
        "first_name": "MEGAN",
        "middle_name": "L",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "215821",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Ashley Arthurs, M.S. CCC-SLP
• Courtney Audet, LMHC
• Jenny Banach, CNP
• Be Enough Psychiatry PLLC
• Aaron Bell, NP
• Suma Siddharam Bonanno
• Melissa Turner Booth, R.D.
• Lynette Bowen, M ED, CRP
• Kari Ann Bragaw, PT
• Jillian Brooks, LMHC

• Clinical Social Worker in Wrentham, MA
• Providers in Wrentham, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.