Active NPI
Heather Boorman, LICSW, APSW
- Clinical Social Worker
- Somerset, WI
National Provider Identifier
1487889176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17684
- Practice address
- 705 Rivard St
Somerset, WI 54025-7455 - Phone
- (651) 319-1102
- NPI assigned
- May 25, 2009
- 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 | 17684 | MN | Primary |
| Clinical Social Worker | 1041C0700X | 127281-121 | WI |
Addresses
Primary practice location
705 Rivard St
Somerset, WI 54025-7455
Mailing address
PO Box 251
Baldwin, WI 54002-0251
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17684 | MN | MD | Clinical Social Worker |
| 127281-121 | WI | MD | Clinical Social Worker |
| 7549 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243209600000",
"number": "1487889176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251",
"city": "BALDWIN",
"state": "WI",
"postal_code": "540020251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 RIVARD ST",
"city": "SOMERSET",
"state": "WI",
"postal_code": "540257455",
"telephone_number": "651-319-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOORMAN",
"first_name": "HEATHER",
"credential": "LICSW, APSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-25",
"last_updated": "2009-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "17684",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "127281-121",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.