Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beverly Boughton

Individual provider Social Worker · NPI 1528299492

Beverly Boughton is a Clinical Social Worker in Elmira, New York. Qualified in 2008, 18 years ago. Practices with Renew Counseling Practicing Licensed Clinical Social Work PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

711 Sullivan St
Elmira, NY 14901-2322
Phone: (607) 737-6151
Fax: (607) 734-2943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 083145-1 (NY)
Social Worker Taxonomy 104100000X · Licence 72079206 (NY)

Record details

NPI number1528299492
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 27, 2009
Last updated in NPPESDecember 27, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Renew Counseling Practicing Licensed Clinical Social Work Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Elmira