Sara J Boersma, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801080329 Issued in MI

Practice address

1576 Peck St
Muskegon, MI 49441-2547

Phone

(231) 855-5511

Fax

(231) 725-7241

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1366547929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 PECK ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412547",
            "telephone_number": "231-855-5511",
            "fax_number": "231-725-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 PECK ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412547",
            "telephone_number": "231-855-5511",
            "fax_number": "231-725-7241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "376 E Apple Ave",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494423466",
            "country_code": "US",
            "telephone_number": "231-724-1111",
            "fax_number": "231-724-3659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOERSMA",
        "first_name": "SARA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801080329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "SB080329",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benita Blohm
• Katelyn Blough, DO
• Blue Dot
• Scott William Bodenberg
• Kristen Boersema, CRNA
• Meghan Elizabeth Boertman
• Hannah Katherine Boes
• Theodore J Boeve, MD
• Wendy A Bohning, PTA
• Bailey Anne Bohrmann, MSW

• Clinical Social Worker in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.