SANDRA BOECKMANN LSW NPI 1013705854

NPI Information

  • NPI: 1013705854
  • Provider Name: SANDRA BOECKMANN, LSW
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 920 W CUSTER AVE
    PONTIAC, IL
    ZIP 61764
  • Phone: (815) 844-6109

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NPI Details

Sandra Boeckmann, LSW is an addiction (substance use disorder) counselor in Pontiac, IL. Sandra Boeckmann, LSW NPI is 1013705854. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

920 W CUSTER AVE
PONTIAC, IL
ZIP 61764-067
Phone: (815) 844-6109
Fax: (815) 844-3561

The enumeration date for this NPI number is 4/30/2025 and was last updated on 4/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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