KENNETH A BOERNER (LISW-S) – Clinical Social Worker, NPI 1043348410

KENNETH A BOERNER (LISW-S) is a healthcare provider. based in Zanesville, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW-S. They hold a License No. I9219 (OH). The NPI Number for KENNETH A BOERNER (LISW-S) is 1043348410

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH A BOERNER (LISW-S)
NPI
1043348410
Phone
(740) 454-9766
Address
2845 BELL ST
Enumeration Date
28 February 2007
Last Update Date
17 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7404549766
Graduation Year
1997 (29 years ago)
PAC ID
1658515267
Group Practice PAC ID
0547165615
Professional Enrollment ID
I20130923000256
Address ID
OH437011720ZA2845XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for KENNETH A BOERNER (LISW-S)

  • 2845 BELL ST

    ZANESVILLE, OH 437011720

    Phone: (740) 454-9766

    Fax: (740) 588-6452

    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: 2013-09-23

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
I20130923000256IClinical Social WorkerOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90791Psychiatric diagnostic evaluation1616$0
Q3014Telehealth originating site facility fee1616$0
View full utilization report →

Insurance plans in this area (ZIP 43701)

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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: 0547165615View full group profile
NameSpecialtyState
Mental Health CounselorOH
Clinical Social WorkerCO
Clinical Social WorkerOH
Nurse PractitionerOH
-OH
Clinical Social WorkerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Nurse PractitionerOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

How do I look up KENNETH A BOERNER (LISW-S) by NPI?
Use NPI 1043348410 when you need to reference KENNETH A BOERNER (LISW-S) in forms, claims, or directories.
Is KENNETH A BOERNER (LISW-S) currently active in the NPI registry?
CMS-published data lists KENNETH A BOERNER (LISW-S) as an active registrant.
What does KENNETH A BOERNER (LISW-S) treat or focus on?
Patients typically see KENNETH A BOERNER (LISW-S) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place KENNETH A BOERNER (LISW-S)?
The snapshot lists Zanesville, Ohio for KENNETH A BOERNER (LISW-S); download NPPES for the complete set.
Is KENNETH A BOERNER (LISW-S) a real provider?
This page reflects official NPPES data for NPI 1043348410. Always confirm identity and privileges with the practice and licensing boards.

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