Individual provider Active NPI

Stephanie Angel Brown-Boyer, LMSW

  • Clinical Social Worker
  • Paw Paw, MI
National Provider Identifier
1932991924
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092856 Issued in MI
Practice address
53810 Meadow View LN
Paw Paw, MI 49079-8625
Phone
(269) 539-1158
NPI assigned
May 19, 2025
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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 6801092856 MI Primary

Addresses

Primary practice location

53810 Meadow View LN
Paw Paw, MI 49079-8625

Mailing address

53810 Meadow View LN
Paw Paw, MI 49079-8625
Phone (269) 539-1158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250808001123 MI Practitioner - Clinical Social Worker 5698273746 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Therapy & Counseling Services Clinical CurrentSince Jul 1, 2025 Accepting new patients

Locations

246 E Kilgore Rd
Portage, MI 49002
Phone (269) 249-7179

800 E Milham Ave
Portage, MI 49002
Phone (269) 249-7179

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": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1932991924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53810 MEADOW VIEW LN",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490798625",
            "telephone_number": "269-539-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53810 MEADOW VIEW LN",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490798625",
            "telephone_number": "269-539-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-BOYER",
        "first_name": "STEPHANIE",
        "middle_name": "ANGEL",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paw Paw, MI

Sources for this page

Verify at the official NPI Registry.