Provider Demographics
NPI:1972784163
Name:BOYER, ANNAS LEE (LSCSW)
Entity type:Individual
Prefix:
First Name:ANNAS
Middle Name:LEE
Last Name:BOYER
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:ANNAS
Other - Middle Name:LEE
Other - Last Name:LEFORT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1739 E 23RD ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-5017
Mailing Address - Country:US
Mailing Address - Phone:785-830-8328
Mailing Address - Fax:
Practice Address - Street 1:1739 E 23RD ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66046-5017
Practice Address - Country:US
Practice Address - Phone:785-830-8238
Practice Address - Fax:785-830-8246
Is Sole Proprietor?:No
Enumeration Date:2007-11-16
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS6518104100000X
KS262101YA0400X
KS42321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)