Active NPI
Alyssa Lynn Boinais, LLMSW
- Social Worker
- Waterford, MI
National Provider Identifier
1306598735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801116006
- Practice address
- 4330 Pontiff St
Waterford, MI 48329-1551 - Phone
- (248) 533-6930
- NPI assigned
- Jan 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851106951 | MI | |
| Social Worker | 104100000X | 6801116006 | MI | Primary |
Addresses
Primary practice location
4330 Pontiff St
Waterford, MI 48329-1551
Mailing address
4330 Pontiff St
Waterford, MI 48329-1551
Phone (248) 533-6930
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801116006 | MI | MD | Social Worker |
| 6851106951 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1306598735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 PONTIFF ST",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483291551",
"telephone_number": "248-533-6930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 PONTIFF ST",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483291551",
"telephone_number": "248-533-6930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOINAIS",
"first_name": "ALYSSA",
"middle_name": "LYNN",
"credential": "LLMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-26",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851106951",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801116006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.