Provider Demographics
NPI:1790034866
Name:BOYER, ELAINE (LICSW, C-ASWCM)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:
Last Name:BOYER
Suffix:
Gender:F
Credentials:LICSW, C-ASWCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 WARING RD
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-1723
Mailing Address - Country:US
Mailing Address - Phone:617-549-6481
Mailing Address - Fax:508-647-9981
Practice Address - Street 1:9 WARING RD
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-1723
Practice Address - Country:US
Practice Address - Phone:617-549-6481
Practice Address - Fax:508-647-9981
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1162021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical