Individual provider Active NPI

Luciana Bolgar Boyk, LMSW

  • Social Worker
  • Dearborn, MI
National Provider Identifier
1598117665
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801115358 Issued in MI
Practice address
1520 Birchcrest Dr
Dearborn, MI 48124-4090
Phone
(313) 570-6494
NPI assigned
Jul 12, 2016
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X
Social Worker 104100000X 6801115358 MI Primary

Addresses

Primary practice location

1520 Birchcrest Dr
Dearborn, MI 48124-4090

Mailing address

22350 Maplelawn Ave
Taylor, MI 48180-4238
Phone (313) 570-6494

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
I20221221001089 MI Practitioner - Clinical Social Worker 4981074606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Detroit Recovery ProjectGroup PAC ID 1850716226, 9 clinicians

Practice addresses (Care Compare)

1145 W Grand Blvd
Detroit, MI 48208-2336
Phone (313) 324-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801115358MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Rehabilitation Center, Inc. Current Accepting new patients
The Detroit Recovery Project CurrentSince Mar 1, 2025 Accepting new patients

Locations

1121 E McNichols Rd
Detroit, MI 48203
Phone (313) 365-3100

1145 W Grand Blvd
Detroit, MI 48208
Phone (313) 324-8900

400 Stoddard Rd
Richmond, MI 48062

19611 E 8 Mile Rd
St Clr Shores, MI 48080
Phone (586) 541-9550

Interoperability endpoints

  • Direct secure messaging: luciana.boyk.p1@direct.recovery4detroit.nextgenshare.com

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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1598117665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22350 MAPLELAWN AVE",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804238",
            "telephone_number": "313-570-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 BIRCHCREST DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244090",
            "telephone_number": "313-570-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYK",
        "first_name": "LUCIANA",
        "middle_name": "BOLGAR",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801115358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.