Individual provider · NPI-1

Brandie Jean Boehmer, LCSW

Social Worker, Clinical · Ocala, FL

NPI number1891171278
StatusActive
Last updated in NPPESMay 2, 2024

Details

NPI
1891171278
Entity type
Individual (NPI-1)
Name
Brandie Jean Boehmer
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Aug 7, 2015
Certification date
May 2, 2024
Last updated
May 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical22616FLYes
1041C0700X Social Worker, Clinical111975IA
1041C0700X Social Worker, Clinical17786MN

Other names

  • Brandie Jean Larson (Former Name)

Practice location

8917 Sw 50th Ter
Ocala, FL 34476-6164

Phone 507-236-9569 · Fax 833-959-1669

Mailing address

8917 Sw 50th Ter
Ocala, FL 34476-6164

Phone 507-236-9569 · Fax 833-959-1669

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