MEDICARE: DEBRA BOIANO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SC61140965	WA

General Provider Information

NPI Number	:	1053267765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA BOIANO

Provider Business Mailing Address
First Line	:	24103 43RD AVE W
Second Line	:
City	:	MOUNTLAKE TERRACE
State	:	WA
Zip	:	98043-5837
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24103 43RD AVE W
Second Line	:
City	:	MOUNTLAKE TERRACE
State	:	WA
Zip	:	98043-5837
Country	:	US
Telephone Number	:	425-530-3440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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Directions to “ DEBRA BOIANO ” Practice Location

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