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MARY FLYNN BOENER LCSW
NPI 1669742474
Social Worker - Clinical in Holly Hill, FL

Active since January 10, 2012PECOS EnrolledAccepts Medicare Assignment
1340 RIDGEWOOD AVE, HOLLY HILL, FL 32117(386) 676-7175(386) 676-7134 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Flynn Boener Lcsw NPPES

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

MARY FLYNN BOENER LCSW (NPI 1669742474) is an individual clinical provider in Holly Hill, Florida, licensed in Florida (SW 8577) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1669742474
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY FLYNN BOENERCredential: LCSW
Location Address1340 RIDGEWOOD AVEHolly Hill, FL 32117-2320
Mailing Address1340 Ridgewood AveHolly Hill, FL 32117-2320 · (386) 676-7175 · Fax (386) 676-7134
Phone(386) 676-7175
Fax(386) 676-7134
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJanuary 10, 2012
Last NPPES UpdateOctober 12, 2016
✔ NPI 1669742474 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 FL · SW 8577
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.
1340 RIDGEWOOD AVE, Holly Hill, FL 32117
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Other Names 1

Former Name (1)Mary Catherine Flynn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Flynn Boener Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315105053
PECOS Enrollment IDI20250513003146
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

MRS. TERRI LYNN CIMMERER RPH
Pharmacist
1340 RIDGEWOOD AVE
HOLLY HILL, FL 32117
Volusia County (386) 676-7126
FELICITAS G AGANA MD
Pediatrics
1340 RIDGEWOOD AVE
HOLLY HILL, FL 32117
Volusia County (386) 676-7100
DR. KRISTEN FOLI PHARMD
Pharmacist
1340 RIDGEWOOD AVE
HOLLY HILL, FL 32117
Volusia County (386) 676-7126
DR. DAVID B FOX PHARMD
Pharmacist (Geriatric)
1340 RIDGEWOOD AVE
DAYTONA BEACH, FL 32117
Volusia County (386) 615-4016
MRS. JACKIE S MILLER RPH
Pharmacist
1340 RIDGEWOOD AVE
HOLLY HILL, FL 32117
Volusia County (386) 676-7126
DANIEL E DRAKE PAC
Physician Assistant
1340 RIDGEWOOD AVE
HOLLY HILL, FL 32117
Volusia County (866) 767-1723
RAFAEL PARLADE PH D
Psychologist
1340 RIDGEWOOD AVE
HOLLY HILL, FL 32117
Volusia County (386) 676-7175
NATHAN P WHARTON LMHC
Counselor (Mental Health)
1340 RIDGEWOOD AVE
HOLLY HILL, FL 32117
Volusia County (813) 484-3505

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 Mary Boener's NPI number?

The NPI number for Mary Boener is 1669742474. It was assigned to this individual provider in the NPPES registry on January 10, 2012. The provider is also known as Mary Catherine Flynn.

Where is Mary Boener located?

Mary Boener practices at 1340 Ridgewood Ave, Holly Hill, FL 32117. The listed phone number is (386) 676-7175.

What is Mary Boener's specialty?

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

Is Mary Boener enrolled in Medicare?

Yes. Mary Boener is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mary Boener was last updated on October 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.