Individual provider Active NPI

Denise Joan Boisse, LCSW

  • Social Worker
  • Hollis Center, ME
National Provider Identifier
1902137045
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
103K00000X Issued in ME
Practice address
174 Clarks Mill Rd
Hollis Center, ME 04042-3850
Phone
(120) 724-7289
NPI assigned
Jan 28, 2010
Last updated
Jan 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 103K00000X ME Primary

Addresses

Primary practice location

174 Clarks Mill Rd
Hollis Center, ME 04042-3850

Mailing address

174 Clarks Mill Rd
Hollis Center, ME 04042-3850
Phone (120) 724-7289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20100427000212 ME Practitioner - Clinical Social Worker 0244367076 Reassigns benefits to 2 organizations
Practice locations: Hollis Center, ME

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103K00000XMEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetser CurrentSince Aug 23, 2010 Accepting new patients

Locations

28 Sweetser Dr
Belfast, ME 04915
Phone (207) 284-5981

329 Bath Rd
Brunswick, ME 04011
Phone (207) 373-3012

50 Moody St
Saco, ME 04072
Phone (207) 284-5981

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": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1902137045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 CLARKS MILL RD",
            "city": "HOLLIS CENTER",
            "state": "ME",
            "postal_code": "040423850",
            "telephone_number": "120-724-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 CLARKS MILL RD",
            "city": "HOLLIS CENTER",
            "state": "ME",
            "postal_code": "040423850",
            "telephone_number": "120-724-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOISSE",
        "first_name": "DENISE",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "103K00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis Center, ME

Sources for this page

Verify at the official NPI Registry.