Active NPI
Alissa Hope Boerman
- Clinical Social Worker
- Newaygo, MI
National Provider Identifier
1831824796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801119829
- Practice address
- 130 W Wood St
Newaygo, MI 49337-8991 - Phone
- (231) 224-6120
- Fax
- (231) 216-7649
- NPI assigned
- Jul 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801119829 | MI | Primary |
Addresses
Primary practice location
130 W Wood St
Newaygo, MI 49337-8991
Mailing address
5943 E 80TH St
Newaygo, MI 49337-9228
Phone (616) 292-3161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801119829 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1831824796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5943 E 80TH ST",
"city": "NEWAYGO",
"state": "MI",
"postal_code": "493379228",
"telephone_number": "616-292-3161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W WOOD ST",
"city": "NEWAYGO",
"state": "MI",
"postal_code": "493378991",
"telephone_number": "231-224-6120",
"fax_number": "231-216-7649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOERMAN",
"first_name": "ALISSA",
"middle_name": "HOPE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-22",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801119829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newaygo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.