Shirley K Boyer, LMSW

Individual provider Active NPI Social Worker · Cadillac, MI

NPI 1801966007 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1801966007
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
6801080961 (MI)
Practice address
527 Cobb St
Cadillac, MI 49601-2540
Phone
(231) 775-3463
Fax
(231) 775-1692
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801080961 MI Yes

Addresses

Primary practice location

527 Cobb St
Cadillac, MI 49601-2540

Mailing address

105 Hall St
Suite a
Traverse City, MI 49684-2288
Phone (231) 922-4850

Other providers in Cadillac, MI

All providers in Cadillac, MI · Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.