MR. CHARLES ALAN BOARDMAN (NPI# 1801176722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801176722 |
| Entity Type | Individual |
| Full Name | MR. CHARLES ALAN BOARDMAN |
| Credential | LMSW |
| Practice Address |
303 S Broadway 3rd Floor Tarrytown NY 10591-5413 |
| Practice Telephone | 7819947602 |
| Practice Fax Number | 9146312462 |
| Mailing Telephone | 7819947602 |
| Mailing Fax Number | 9146312462 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 051440-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720135643 | Charles Roy Boardman | Registered Nurse | 4226 Ne Grand Ave, Portland, OR 97211-3411 | 2007-01-04 |
| 1164417895 | Charles Holloway Boardman Iv | Occupational Therapist | 619 South Marion Ave, North Florida / South Georgia Veterans Health System, Lake City, FL 32025 | 2005-09-19 |
| Street Address |
303 S BROADWAY 3RD FLOOR |
| City | TARRYTOWN |
| State | NY |
| Zip Code | 10591-5413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316978042 | Janet N. Sullivan | Dermatology | 303 S Broadway, Suite 321, Tarrytown, NY 10591-5413 | 2006-07-05 |
| 1831738426 | Jennifer Lynn Shoemaker | Social Worker | 303 S Broadway, Tarrytown, NY 10591-5413 | 2019-12-30 |
| 1417319146 | Arthur Zak | Anesthesiology | 303 S Broadway, Tarrytown, NY 10591-5413 | 2016-03-22 |
| 1982986162 | Evette Anne Munz-hitscher | Registered Nurse | 303 S Broadway, Suite 321, Tarrytown, NY 10591-5413 | 2011-09-14 |
| 1871874487 | Margaret Brolly Leonard | Nurse Practitioner | 303 S Broadway, Suite 321, Tarrytown, NY 10591-5455 | 2011-09-09 |
| 1598046872 | Mary Bernadette Nolan | Registered Nurse | 303 S Broadway, Suite 321, Tarrytown, NY 10591-5413 | 2011-08-31 |
| 1558641522 | Jean Bonita Vega-toomey | Registered Nurse | 303 S Broadway, Tarrytown, NY 10591-5455 | 2011-08-23 |
| 1588944540 | Delta Leonard | Registered Nurse | 303 S Broadway, Suite 321, Tarrytown, NY 10591-5413 | 2011-08-23 |
| 1427338482 | Laura Georgina Frias | Registered Nurse | 303 S Broadway, Suite 321, Tarrytown, NY 10591-5413 | 2011-08-23 |
| 1821378886 | Patricia Mary Pompilio | Registered Nurse | 303 S Broadway, Suite 321, Tarrytown, NY 10591-5413 | 2011-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451661 | Viviana Martinez | Counselor | 81 Fairview Avenue, Second Floor, Tarrytown, NY 10591 | 2020-09-14 |
| 1730718834 | Johnny Truong | Student in an Organized Health Care Education/Training Program | Phelps Family Medicine Residency Program, 701 North Broadway, Sleepy Hollow, NY 10591 | 2020-04-02 |
| 1336707314 | Jeffrey Edward Dwulet | Student in an Organized Health Care Education/Training Program | Phelps Memorial Hospital, 701 North Broadway, Sleepy Hollow, NY 10591 | 2019-06-04 |
| 1881188738 | Broadway Cosmetic Dentistry, P.C. | Dentist | 128 South Broadway, Tarrytown, NY 10591 | 2018-06-14 |
| 1356883870 | Kathryn Kearns | Early Intervention Provider Agency | 12 Francis Street, Sleepy Hollow, NY 10591 | 2016-11-15 |
| 1467802058 | Bv Tarrytown Operator LLC | Alzheimer Center (Dementia Center) | 581 Old White Plains Road, Tarrytown, NY 10591 | 2016-06-15 |
| 1316309347 | Harbor Dental | Public Health or Welfare | 55 River Street, Mei Zhang, Dds, Sleepy Hollow, NY 10591 | 2016-03-29 |
| 1770948317 | Hyra Kamecaj Zucker | Counselor | 55 Stephen Drive, Tarrytown, NY 10591 | 2015-12-28 |
| 1396137428 | Jerry Diaz | Health Educator | 173 1/2 Cortlandt St, Sleepy Hollow, NY 10591 | 2015-02-26 |
| 1740670397 | Heather Katz | Internal Medicine | 777 N Broadway Ste 102, Sleepy Hollow, NY 10591 | 2015-02-03 |
| Find all providers in zip 10591 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053693622 | Yesenia Velez | Social Worker | 303 S. Broadway, Suite 321, Tarrytown, NY 10591-5455 | 2011-09-09 |
| 1215172176 | Tara Ann O'shaughnessy | Social Worker | 61 Spring St., Tarrytown, NY 10591 | 2008-12-08 |
| 1235744368 | Susannah Leona Alao | Social Worker | 580 White Plains Rd Ste 510, Tarrytown, NY 10591-5152 | 2020-09-15 |
| 1851919500 | Matthew Ross Mikaelian | Social Worker | 580 White Plains Rd Ste 510, Tarrytown, NY 10591-5152 | 2020-07-09 |
| 1013537885 | Michaele Mcilnay | Social Worker | 580 White Plains Rd Ste 510, Tarrytown, NY 10591-5152 | 2020-04-22 |
| 1831738426 | Jennifer Lynn Shoemaker | Social Worker | 303 S Broadway, Tarrytown, NY 10591-5413 | 2019-12-30 |
| 1053956276 | Catherine Marie Karpowicz | Social Worker | 580 White Plains Rd Ste 510, Tarrytown, NY 10591-5152 | 2019-11-12 |
| 1558919928 | Marianne Lacalamito | Social Worker | 580 White Plains Rd Ste 510, Tarrytown, NY 10591-5152 | 2019-08-29 |
| 1699238634 | Keith Lamont Grant | Social Worker | 580 White Plains Rd Ste 510, Tarrytown, NY 10591-5152 | 2019-04-08 |
| 1487126033 | Destiny Capo | Social Worker | 580 White Plains Rd Ste 510, Tarrytown, NY 10591-5152 | 2018-12-20 |
| Find all providers in TARRYTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.