Phillip Bradley Boeye, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21174 Issued in MD

Practice address

975 Kirman Ave
Reno, NV 89502-0993

Phone

(775) 326-2932

NPI assigned

Dec 16, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1558805192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 WEDGE PKWY UNIT 2325",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113243",
            "telephone_number": "385-988-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 KIRMAN AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895020993",
            "telephone_number": "775-326-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEYE",
        "first_name": "PHILLIP",
        "middle_name": "BRADLEY",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-16",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenna Boegle
• Noah Boekweg
• Shannon Marie Boelow
• Richard Neil Boersig, LCSW
• Jessica Boesen
• Evelyn Bogarin Hurtado
• Robert W Bogart, DO
• Annelise Boge, OTR/L
• Ashley Boharsik
• Kimberly Esther Boharsik

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.