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

Individual provider Clinical Social Worker · NPI 1851786446

Nicholas Boeder, LCSW is a Clinical Social Worker in Taos, New Mexico. Qualified in 2007, 19 years ago. Practices with St Lukes Medical Clinic LLC, a 3-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
19
Licensed in
NM
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1335 Gusdorf Rd Bldg E
Taos, NM 87571
Phone: (575) 758-0670
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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 C-08893 (NM)

Record details

NPI number1851786446
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 1, 2015
Last updated in NPPESDecember 15, 2016
Mailing addressPo Box 437, El Prado, NM 87529

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice St Lukes Medical Clinic Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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