Brian L. Boomgarden, MS CADC
NPI 1871510677ActiveIndividual· Counselor, Mental Health· Manitowoc, WI
Counselor, Mental Health (MS CADC) with Froedtert Manitowoc Medical Group, LLC, practicing in Manitowoc, Wisconsin. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1871510677 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS CADC |
| Sole proprietor | No |
| NPI issued | Jul 16, 2006 |
| Last updated in NPPES | Jun 3, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 2898-123 | WI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 11165 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WI) |
|---|
Education and affiliations
| Graduation year | 1988 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Froedtert Manitowoc Medical Group, LLCSheboygan, WI · 156 clinicians
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