MARY FLYNN BOENER LCSW
NPI 1669742474
Social Worker - Clinical in Holly Hill, FL
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
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Boener reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Johns Creek, GA 30097
- Reassigned Medicare billing, Georgia enrollment
- 137 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Mary Boener's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Boener reassigns Medicare benefits to Christopher Dennis MD PLLC (Johns Creek, GA). The 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 Mary Boener's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Boener accept?
Health plans from Oscar Health list Mary Boener as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 10 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.
# Mary Flynn Boener, LCSW · NPI 1669742474
Clinical provider in Holly Hill, Florida. Individual provider, active in the CMS NPPES registry since January 10, 2012.
## Identity
- **NPI:** 1669742474 (Entity type: Individual)
- **Enumerated:** January 10, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** SW 8577 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1340 RIDGEWOOD AVE, Holly Hill, FL 32117-2320
- **Phone:** (386) 676-7175 · **Fax:** (386) 676-7134
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Christopher Dennis MD PLLC (NPI 1588090229, Johns Creek, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** October 12, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1669742474) · Data from the CMS NPPES public registry.