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ELIZABETH BOSHOVEN LLC
NPI 1093126146
Social Worker - Clinical in Grand Rapids, MI

Active since May 12, 2014
4403 CASCADE ROAD SE, SUITE 7, GRAND RAPIDS, MI 49546(616) 309-4553(616) 469-1078 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elizabeth Boshoven Llc NPPES

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

ELIZABETH BOSHOVEN LLC (NPI 1093126146) is a healthcare organization registered as a clinical in Grand Rapids, Michigan and active in the NPI registry since May 2014. The organization lists Elizabeth Anne Boshoven, Owner, as its authorized official.

NPPES Registry Identity

NPI1093126146
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameELIZABETH BOSHOVEN LLC
Location Address4403 CASCADE ROAD SE, SUITE 7Grand Rapids, MI 49546
Mailing Address4403 Cascade Road Se, Suite 7Grand Rapids, MI 49546 · (616) 309-4553 · Fax (616) 469-1078
Phone(616) 309-4553
Fax(616) 469-1078
Organization SubpartNo
Authorized OfficialElizabeth Anne BoshovenOwner · (616) 309-4553
Enumeration DateMay 12, 2014
Last NPPES UpdateApril 1, 2019
✔ NPI 1093126146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801081555
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4403 CASCADE ROAD SE, Grand Rapids, MI 49546
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Boshoven Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Elizabeth Boshoven LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Elizabeth Boshoven, LMSW ACSW
Clinical Social Worker
NPI 1255401287
4403 CASCADE ROAD SE SUITE 7
Grand Rapids, MI 49546
(616) 309-4553
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Elizabeth Boshoven LLC's NPI number?

The NPI number for Elizabeth Boshoven LLC is 1093126146. It was assigned to this organization in the NPPES registry on May 12, 2014.

Where is Elizabeth Boshoven LLC located?

Elizabeth Boshoven LLC is located at 4403 Cascade Road SE Suite 7, Grand Rapids, MI 49546. The listed phone number is (616) 309-4553.

What is Elizabeth Boshoven LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Elizabeth Boshoven LLC enrolled in Medicare?

Yes. Elizabeth Boshoven LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elizabeth Boshoven LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Elizabeth Boshoven LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Boshoven LLC was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.