Garrett Boardway, LMSW-CC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

77 Court St
Bangor, ME 04401-4723

Phone

(207) 941-0879

Fax

(207) 941-0880

NPI assigned

Dec 18, 2020

Sex

Male

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 ME

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Higher Ground Services LLCGroup PAC ID 0345381836, 7 clinicians

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.

• Higher Ground Services LLC

  • Community/Behavioral Health Agency
  • Brewer, ME
  • NPI 1265767446
  Medicare reassignment Care Compare group NPD
• Behavioral Health Center

  • Clinical Social Worker
  • Bangor, ME
  • NPI 1346333838
  NPD
• Knada, PA

  • Clinical Social Worker
  • Bangor, ME
  • NPI 1841795127
  NPD
• McKay Counseling PLLC

  • Professional Counselor
  • Brewer, ME
  • NPI 1568058311
  NPD

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1215523717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 COURT ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014723",
            "telephone_number": "207-941-0879",
            "fax_number": "207-941-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 COURT ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014723",
            "telephone_number": "207-941-0879",
            "fax_number": "207-941-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOARDWAY",
        "first_name": "GARRETT",
        "credential": "LMSW-CC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Bloom-Foster, MD
• Blossom Care LLC
• Sydnee Blouin, PHARMD
• Blue B Inc
• Blue School Inc.
• Jeyashree M Boardway, PAC
• Retha K. Bobb, PNP
• Mahdieh Bodaghi, M.D.
• Sherry M Bodge, LD
• Katherine Ann Bodkin, LCSW

• Clinical Social Worker in Bangor, ME
• Providers in Bangor, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.