SANDRA BOECKMANN LSW
NPI 1013705854
Counselor - Addiction (Substance Use Disorder) in Pontiac, IL

Active since April 30, 2025
920 W CUSTER AVE, PONTIAC, IL 61764(815) 844-6109(815) 844-3561 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sandra Boeckmann Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA BOECKMANN LSW (NPI 1013705854) is an individual addiction (substance use disorder) provider in Pontiac, Illinois and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1013705854
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSANDRA BOECKMANNCredential: LSW
Location Address920 W CUSTER AVEPontiac, IL 61764-1067
Mailing Address920 W Custer AvePontiac, IL 61764-1067 · (815) 844-6109 · Fax (815) 844-3561
Fax(815) 844-3561
Sole ProprietorNo
Enumeration DateApril 30, 2025
NPPES CertifiedApril 30, 2025
NPI 1013705854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
920 W CUSTER AVE, Pontiac, IL 61764

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Speech-Language Pathologist
920 W CUSTER AVE
PONTIAC, IL 61764
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Boeckmann's NPI number?

The NPI number for Sandra Boeckmann is 1013705854. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Where is Sandra Boeckmann located?

Sandra Boeckmann practices at 920 W Custer Ave, Pontiac, IL 61764. The listed phone number is (815) 844-6109.

What is Sandra Boeckmann's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Sandra Boeckmann was last updated on April 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.