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

Brian L Boomgarden, MS, CADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1871510677

Brian L Boomgarden, MS, CADC is a Clinical Social Worker in Manitowoc, Wisconsin. Qualified in 1988, 38 years ago. Practices with Froedtert Manitowoc Medical Group, LLC, a 157-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
38
Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

339 Reed Ave
Manitowoc, WI 54220-2020
Phone: (920) 320-8600
Fax: (920) 320-8662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2898-123 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 11165 (WI)

Record details

NPI number1871510677
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , CADC
Sole proprietorNo
NPI enumeratedJuly 16, 2006
Last updated in NPPESJune 3, 2008

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Froedtert Manitowoc Medical Group, Llc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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