Marybeth Boylan, LCSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

072046 Issued in NY

Practice address

167 Myers Corners Rd
Suite 200
Wappingers Falls, NY 12590-3869

Phone

(845) 298-5000

NPI assigned

Sep 13, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wappingers Central School District

  • Health Educator
  • Wappingers Falls, NY
  • NPI 1063770642
  NPD (past)

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1629403274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 MYERS CORNERS RD",
            "address_2": "SUITE 200",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125903869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 MYERS CORNERS RD",
            "address_2": "SUITE 200",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125903869",
            "telephone_number": "845-298-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLAN",
        "first_name": "MARYBETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "072046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Vito Bonavoglia, DDS, MS
• Annemarie Bonawitz-Dodi, M.D.
• Angelina Boss
• Kelly Anne Boss, LMSW
• Kelly Bove, RN
• Sherrill Brantley, DMD
• Susan Brought
• Brown Chiropractic Associates, PC
• Ashanti Brown, LPN
• Howard Marc Brown, D.C.

• All providers in Wappingers Falls, NY
• School Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.