Individual provider Active NPI

Becky J Boice, LISW

  • Clinical Social Worker
  • Vermilion, OH
National Provider Identifier
1285087957
Registry record updated Dec 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.202204034 Issued in OH
Practice address
921 State St
Vermilion, OH 44089-1203
Phone
(440) 721-7648
NPI assigned
Jul 18, 2016
Last updated
Dec 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2022

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 I.202204034 OH Primary

Addresses

Primary practice location

921 State St
Vermilion, OH 44089-1203

Mailing address

921 State St
Vermilion, OH 44089-1203
Phone (440) 721-7648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230427000331 OH Practitioner - Clinical Social Worker 9335504372 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.202204034OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ohioguidestone CurrentSince Jan 4, 2023 Accepting new patients
Ohioguidestone CurrentSince Jan 4, 2023 Accepting new patients
Ohioguidestone Current Accepting new patients
Therapy Unscripted LLC Social Worker CurrentSince Jun 17, 2023 Accepting new patients
Armbruster Counseling & Therapy Services LLC Clinical PastSince Oct 23, 2024 Accepting new patients
Bechtel Counseling & Consulting LLC PastSince Feb 1, 2022 Accepting new patients

Locations

202 E Bagley Rd
Berea, OH 44017
Phone (440) 260-8327

2173 N Ridge Rd E
Ste E
Lorain, OH 44055
Phone (440) 260-6100

246 Northland Dr
Ste 120
Medina, OH 44256

Organizations & group practices 6

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": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670112000000",
    "number": "1285087957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 STATE ST",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440891203",
            "telephone_number": "440-721-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 STATE ST",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440891203",
            "telephone_number": "440-721-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOICE",
        "first_name": "BECKY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2022-12-04",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.202204034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermilion, OH

Sources for this page

Verify at the official NPI Registry.