CARLY BOUGHNER
NPI 1871212688
Social Worker in Chestertown, MD

Active since August 24, 2022PECOS Enrolled
400 S CROSS ST STE 1, CHESTERTOWN, MD 21620(844) 244-5264 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 2, 2025, Aug 24, 2022 (2 updates tracked since 2022).

About Carly Boughner NPPES

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

CARLY BOUGHNER (NPI 1871212688) is an individual social worker in Chestertown, Maryland, licensed in Maryland (28882) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1871212688
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCARLY BOUGHNER
Location Address400 S CROSS ST STE 1Chestertown, MD 21620-4705
Mailing Address142 Coursevall DrCentreville, MD 21617-1824
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 24, 2022
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1871212688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MD · 28882
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
400 S CROSS ST STE 1, Chestertown, MD 21620

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Boughner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325503154
PECOS Enrollment IDI20260722000576
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.

Medicare Billing Reassignment

Medicare enrollment records show Carly Boughner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
301 RANDOLPH ST
Denton, MD 21629
  • Reassigned Medicare billing, Maryland enrollment
  • 67 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.

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 Carly Boughner's NPI number?

The NPI number for Carly Boughner is 1871212688. It was assigned to this individual provider in the NPPES registry on August 24, 2022.

Where is Carly Boughner located?

Carly Boughner practices at 400 S Cross St Ste 1, Chestertown, MD 21620. The listed phone number is (844) 244-5264.

What is Carly Boughner's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Carly Boughner enrolled in Medicare?

Yes. Carly Boughner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Boughner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Boughner reassigns Medicare benefits to Choptank Community Health System Inc (Denton, MD). 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 Carly Boughner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carly Boughner was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.