Individual provider Active NPI

Mariah Boyer, LCSW

  • Clinical Social Worker
  • Niceville, FL
National Provider Identifier
1811625684
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
199 Jones Ave
Niceville, FL 32578-2405
Phone
(850) 279-4576
NPI assigned
Aug 10, 2022
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

199 Jones Ave
Niceville, FL 32578-2405

Mailing address

199 Jones Ave
Niceville, FL 32578-2405
Phone (850) 279-4576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250603003614 FL Practitioner - Clinical Social Worker 6901315647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Boston University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bluewater Behavioral Health, Inc.Group PAC ID 3274873435, 12 clinicians

Practice addresses (Care Compare)

4400 E Hwy 20
Suite 306
Niceville, FL 32578-7703
Phone (850) 797-2598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aileen T. Playter, LLC Clinical CurrentSince Jul 6, 2026 Accepting new patients
Restoring Roots Counseling, LLC Clinical CurrentSince Mar 20, 2025 Accepting new patients
Bluewater Behavioral Health Inc CurrentSince Jun 1, 2025 Accepting new patients

Locations

4400 E Highway 20
Ste 208
Niceville, FL 32578
Phone (507) 972-5988

4400 E Highway 20
Ste 306
Niceville, FL 32578
Phone (850) 797-2598

Organizations & group practices 3

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1811625684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 JONES AVE",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782405",
            "telephone_number": "850-279-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 JONES AVE",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782405",
            "telephone_number": "850-279-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "MARIAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

Verify at the official NPI Registry.