LISA BOISVERT – Counselor, NPI 1073062311

LISA BOISVERT is a healthcare provider. based in Springfield, Massachusetts. specializing in CLINICAL SOCIAL WORKER. The NPI Number for LISA BOISVERT is 1073062311

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
LISA BOISVERT
NPI
1073062311
Phone
(413) 732-7419
Address
110 MAPLE ST
Enumeration Date
28 September 2016
Last Update Date
28 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7813387350
Graduation Year
2017 (9 years ago)
PAC ID
6103273149
Group Practice PAC ID
0840657862
Professional Enrollment ID
I20231113001493
Address ID
MA018035060BU800XXAVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for LISA BOISVERT

  • 110, Maple Street, South End, Springfield, Hampden County, Massachusetts, 01105, United States

    SPRINGFIELD, MA 011051864

    Phone: (413) 732-7419

    Fax: (413) 781-1059

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231113001493IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01105)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840657862View full group profile
NameSpecialtyState
Clinical Social WorkerTX
Mental Health CounselorRI
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerRI
Mental Health CounselorMA
Mental Health CounselorCT
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

How do I look up LISA BOISVERT by NPI?
Use NPI 1073062311 when you need to reference LISA BOISVERT in forms, claims, or directories.
Is LISA BOISVERT active in the national directory?
LISA BOISVERT's public NPI profile is in an active state.
What kind of provider is LISA BOISVERT?
The page reflects Counselor for LISA BOISVERT. Clinical services aligned with this taxonomy classification.
Does LISA BOISVERT practice in Massachusetts?
You will see Springfield, Massachusetts on file for LISA BOISVERT alongside any extra practice locations.
What if Springfield, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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