Individual provider Active NPI

Helen Claire Boy, LICSW LADC

  • Clinical Social Worker
  • Minnetonka, MN
National Provider Identifier
1922168038
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16880 Issued in MN
Practice address
11900 Wayzata Blvd
Suite 209
Minnetonka, MN 55305-2031
Phone
(952) 406-1090
Fax
(952) 224-5996
NPI assigned
Dec 11, 2006
Last updated
Jun 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 300418 MN
Clinical Social Worker 1041C0700X 16880 MN Primary

Addresses

Primary practice location

11900 Wayzata Blvd
Suite 209
Minnetonka, MN 55305-2031

Mailing address

11900 Wayzata Blvd
Suite 209
Minnetonka, MN 55305-2031
Phone (952) 406-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20171030001318 MN Practitioner - Clinical Social Worker 4981766326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
300418MNMDAddiction (Substance Use Disorder) Counselor
16880MNMDClinical Social Worker

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1922168038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 WAYZATA BLVD",
            "address_2": "SUITE 209",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052031",
            "telephone_number": "952-406-1090",
            "fax_number": "952-224-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 WAYZATA BLVD",
            "address_2": "SUITE 209",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052031",
            "telephone_number": "952-406-1090",
            "fax_number": "952-224-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOY",
        "first_name": "HELEN",
        "middle_name": "CLAIRE",
        "name_prefix": "Ms.",
        "credential": "LICSW LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "300418",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.