KYLE BOER (LMSW, CAADC) – Social Worker, NPI 1891187175

KYLE BOER (LMSW, CAADC) is a healthcare provider. based in Holland, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW, CAADC. They hold a License No. 6801115335 (MI). The NPI Number for KYLE BOER (LMSW, CAADC) is 1891187175

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
KYLE BOER (LMSW, CAADC)
NPI
1891187175
Phone
(616) 796-5117
Address
327 COLLEGE AVE APT 5
Enumeration Date
24 February 2015
Last Update Date
10 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6162179934
Graduation Year
2020 (6 years ago)
PAC ID
8921476409
Group Practice PAC ID
4284161233
Professional Enrollment ID
I20221115002604
Address ID
MI494234973HO217XXSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for KYLE BOER (LMSW, CAADC)

  • 327 COLLEGE AVE APT 5

    HOLLAND, MI 494233679

    Phone: (616) 796-5117

    Type: Mailing

  • 483 CENTURY LN

    HOLLAND, MI 494234286

    Phone: (616) 796-5117

    Type: Mailing

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: 2022-11-15

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
I20221115002604IClinical Social WorkerMITBD

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 49423)

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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: 4284161233View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

What federal number belongs to KYLE BOER (LMSW, CAADC)?
The federal identifier for KYLE BOER (LMSW, CAADC) is NPI 1891187175.
Is KYLE BOER (LMSW, CAADC)'s NPI currently valid?
The extract we use shows KYLE BOER (LMSW, CAADC) as active.
Does KYLE BOER (LMSW, CAADC) list a primary specialty?
If you are matching referrals, note Social Worker for KYLE BOER (LMSW, CAADC). Clinical services aligned with this taxonomy classification.
What location metadata exists for KYLE BOER (LMSW, CAADC)?
The page summarizes Holland, Michigan for KYLE BOER (LMSW, CAADC); expand the address list for detail.
How can I contact KYLE BOER (LMSW, CAADC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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