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MRS. JESSICA BOERMA LCSW
NPI 1760251409
Social Worker - Clinical in New York, NY

Active since December 21, 2023Opted out of Medicare · through Apr 27, 2028
12 W 68TH ST APT 4B, NEW YORK, NY 10023(864) 380-6502 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jessica Boerma Lcsw NPPES

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

MRS. JESSICA BOERMA LCSW (NPI 1760251409) is an individual clinical provider in New York, New York, licensed in New York (088966) and active in the NPI registry since December 2023. She has opted out of Medicare through April 27, 2028.

NPPES Registry Identity

NPI1760251409
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JESSICA BOERMACredential: LCSW
Location Address12 W 68TH ST APT 4BNew York, NY 10023-6046
Mailing Address12 W 68th St Apt 4bNew York, NY 10023-6046 · (864) 380-6502
Phone(864) 380-6502
Sole ProprietorYes
Enumeration DateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1760251409 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 NY · 088966
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.
12 W 68TH ST APT 4B, New York, NY 10023
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Jessica Boerma Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 27, 2024 through April 27, 2028.

Opt-Out Effective DateApril 27, 2024
Opt-Out In Effect ThroughApril 27, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jessica Boerma's NPI number?

The NPI number for Jessica Boerma is 1760251409. It was assigned to this individual provider in the NPPES registry on December 21, 2023.

Where is Jessica Boerma located?

Jessica Boerma practices at 12 W 68th St Apt 4B, New York, NY 10023. The listed phone number is (864) 380-6502.

What is Jessica Boerma's specialty?

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

Is Jessica Boerma enrolled in Medicare?

No. Jessica Boerma has opted out of Medicare through April 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Boerma was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.