Individual provider Active NPI

Rebecca Boyko, LICSW

  • Clinical Social Worker
  • Malden, MA
National Provider Identifier
1437138138
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113031 Issued in MA
Practice address
178 Savin St
Suite 200
Malden, MA 02148-2329
Phone
(781) 338-7273
Fax
(781) 338-7245
NPI assigned
Jan 11, 2006
Last updated
Apr 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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 113031 MA Primary

Addresses

Primary practice location

178 Savin St
Suite 200
Malden, MA 02148-2329

Mailing address

178 Savin St
Suite 200
Malden, MA 02148-2329
Phone (781) 338-7273

Other identifiers 2

IdentifierTypeStateIssuer
2314894OtherMACIGNABEHAVIORAL HEALTH
P 08588OtherMABLUE CROSS

Other names 1

  • Rebecca Weaver Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 4, 2025 through Aug 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113031MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge to Healing Psychotherapy LLC Clinical Current Accepting new patients
Hallmark Health Medical Associates Inc PastSince Feb 23, 2019 Accepting new patients

Locations

611 Main St
Ste 302E
Winchester, MA 01890
Phone (781) 640-2078

Organizations & group practices 2

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1437138138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 SAVIN ST",
            "address_2": "SUITE 200",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021482329",
            "telephone_number": "781-338-7273",
            "fax_number": "781-338-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 SAVIN ST",
            "address_2": "SUITE 200",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021482329",
            "telephone_number": "781-338-7273",
            "fax_number": "781-338-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKO",
        "first_name": "REBECCA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNABEHAVIORAL HEALTH",
            "identifier": "2314894",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "P 08588",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "WEAVER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Malden, MA

Sources for this page

Verify at the official NPI Registry.