Active NPIIndividual providerSole proprietor

Garrett Boardway, LMSW-CC

Social Worker, Clinical in Bangor, Maine

NPI Number1215523717
Practice location
77 Court St, Bangor, ME 04401-4723
Fax
207-941-0880
Last updated
December 18, 2020

Garrett Boardway is a Social Worker, Clinical based in Bangor, ME. Garrett Boardway practices in Bangor, ME and has the professional credentials of LMSW-CC. The NPI Number for Garrett Boardway is 1215523717. The current practice location address for Garrett Boardway is 77 Court St, Bangor, ME 04401-4723 and can be reached out via phone at 207-941-0879 and via fax at 207-941-0880.

Provider Profile Details

NPI Number
1215523717
Provider Name
Garrett Boardway
Credential
LMSW-CC
Provider Entity Type
Individual
Gender
Male
Address
77 Court St, Bangor, ME 04401-4723
Phone Number
207-941-0879
Fax Number
207-941-0880
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 18, 2020
Last Update Date
December 18, 2020
Certification Date
December 18, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 Court St
Bangor, ME 04401-4723
City
Bangor
State
Maine
Zip
04401-4723
Phone Number
207-941-0879
Fax Number
207-941-0880
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
77 Court St
Bangor, ME 04401-4723
City
Bangor
State
ME
Zip
04401-4723
Phone Number
207-941-0879
Fax Number
207-941-0880

License Information

Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Garrett Boardway, LMSW-CC?

The NPI number of Garrett Boardway, LMSW-CC is 1215523717. It was assigned on December 18, 2020 and is currently active in the NPPES registry.

What is the specialty of Garrett Boardway, LMSW-CC?

Garrett Boardway, LMSW-CC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Garrett Boardway, LMSW-CC practice?

The practice location is 77 Court St, Bangor, ME 04401-4723. The office can be reached at 207-941-0879 (phone) or 207-941-0880 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215523717 directly on the NPPES registry website.

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