Individual provider Active NPI

Vanessa M. Boyington, LICSW

  • Clinical Social Worker
  • Hingham, MA
National Provider Identifier
1881149680
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1031018 Issued in MA
Practice address
99 Derby St Ste 200
Hingham, MA 02043-4216
Phone
(781) 269-1226
NPI assigned
Aug 22, 2016
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 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 1031018 MA Primary

Addresses

Primary practice location

99 Derby St Ste 200
Hingham, MA 02043-4216

Mailing address

99 Derby St Ste 200
Hingham, MA 02043-4216
Phone (781) 269-1226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160930001628 MA Practitioner - Clinical Social Worker 5698062800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

99 Derby St
Suite 200
Hingham, MA 02043-4216
Phone (339) 788-6160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1031018MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Counseling, LLC Clinical CurrentSince Nov 5, 2024 Accepting new patients

Locations

99 Derby St
Ste 200
Hingham, MA 02043
Phone (617) 356-0803

Organizations & group practices 1

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1881149680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 DERBY ST STE 200",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434216",
            "telephone_number": "781-269-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 DERBY ST STE 200",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434216",
            "telephone_number": "781-269-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYINGTON",
        "first_name": "VANESSA",
        "middle_name": "M.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1031018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.