David Lee Boedy, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089-017 Issued in VT

Practice address

3 Main St
Ste #216
Burlington, VT 05401-5216

Phone

(802) 651-7501

Fax

(802) 860-1234

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

Yes

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.

• Kathryn Fallin, M.S.

  • Clinical Psychologist
  • Burlington, VT
  • NPI 1659700912
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831291418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MAIN ST",
            "address_2": "STE #216",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015216",
            "telephone_number": "802-651-7501",
            "fax_number": "802-860-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MAIN ST",
            "address_2": "STE #216",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015216",
            "telephone_number": "802-651-7501",
            "fax_number": "802-860-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEDY",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0495",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Boa
• Kelly Boardman, LCMHC
• Callan Bock, DDS
• Maryann Bock
• Rebecca N Boedges, MS, MS, LCMHC
• Sarah Nancy Bohl
• Lydia Jane Bohn, MS
• Chantal Josee Boisvert, OD, MD
• Elizabeth Boland, LP
• Lisa Michele Bolduc-Bissell, RN, CDE

• All providers in Burlington, VT
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.