Individual provider Active NPI

Deborah Elizabeth Boyer, LMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1306995550
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801070305 Issued in MI
Practice address
15 E Kirby St Ste 107C
Detroit, MI 48202-4038
Phone
(248) 767-8411
NPI assigned
Jan 9, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 6801070305 MI Primary

Addresses

Primary practice location

15 E Kirby St Ste 107C
Detroit, MI 48202-4038

Mailing address

15 E Kirby St Ste 107C
Detroit, MI 48202-4038
Phone (248) 767-8411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120619000336 MI Practitioner - Clinical Social Worker 1557525789 Reassigns benefits to 1 organization
Practice locations: Detroit, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 E Kirby St
Suite 107C
Detroit, MI 48202-4038
Phone (248) 890-2032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801070305MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Eastwood Behavioral Health CurrentSince Jul 14, 2012 Accepting new patients
Deborah E Boyer Clinical CurrentSince Aug 21, 2017 Accepting new patients
Authentic Living Psychotherapy LLC Clinical PastSince Jul 24, 2022 Accepting new patients

Locations

15 E Kirby St
Ste 107C
Detroit, MI 48202
Phone (248) 767-8411

17250 Farmington Rd
Livonia, MI 48152
Phone (734) 425-4070

Organizations & group practices 3

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306995550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E KIRBY ST STE 107C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482024038",
            "telephone_number": "248-767-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E KIRBY ST STE 107C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482024038",
            "telephone_number": "248-767-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "DEBORAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801070305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.