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

Karmyn Boller, LSW

Individual provider Clinical Social Worker · NPI 1417630021

Karmyn Boller, LSW is a Clinical Social Worker in Michigan City, Indiana. Qualified in 2025, 1 year ago. Registered with an NPI since 2023.

Years since qualifying
1
In the registry since
2023
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

306 W Coolspring Ave
Michigan City, IN 46360-6058
Phone: (219) 877-4560
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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

Record details

NPI number1417630021
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedAugust 9, 2023
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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