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NPI Code Detail

MEDICARE: DENNIS M BOYER LCSW, LCADC

MEDICARE:   DENNIS M BOYER  LCSW, LCADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor37LC00062200NJ
21041C0700XClinical Social Worker44SC05303300NJ

General Provider Information

NPI Number : 1225104276
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS M BOYER LCSW, LCADC
Provider Business Mailing Address
First Line : PO BOX 362
Second Line :
City : MAYS LANDING
State : NJ
Zip : 08330-0362
Country : US
Telephone Number : 609-909-3797
Fax Number :
Provider Business Practice Location Address
First Line : 5616 DOUGHBOY LOOP
Second Line :
City : JB MDL
State : NJ
Zip : 08640-5429
Country : US
Telephone Number : 609-412-6366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 02/26/2026

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Directions to “ DENNIS M BOYER LCSW, LCADC” Practice Location

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