Individual provider Active NPI

Vanessa Susan Boyer, LCSW

  • Clinical Social Worker
  • Newport, NY
National Provider Identifier
1225641699
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089307 Issued in NY
Practice address
5447 State Route 28
Newport, NY 13416-2000
Phone
(315) 845-6800
Fax
(315) 845-8652
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 089307 NY Primary

Addresses

Primary practice location

5447 State Route 28
Newport, NY 13416-2000

Mailing address

2746 Steuben Hill Rd
Herkimer, NY 13350-6309

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vboyer@westcanada.org W Canada Valley Central School District

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
089307NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
W Canada Valley Central School District PastSince Aug 30, 2020 Accepting new patients

Organizations & group practices 1

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1225641699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2746 STEUBEN HILL RD",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133506309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5447 STATE ROUTE 28",
            "city": "NEWPORT",
            "state": "NY",
            "postal_code": "134162000",
            "telephone_number": "315-845-6800",
            "fax_number": "315-845-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "VANESSA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vboyer@westcanada.org",
            "affiliation": "Y",
            "affiliationName": "W Canada Valley Central School District",
            "address_1": "5447 State Route 28",
            "city": "Newport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "134162000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.