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

Sandra Boeckmann, LSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1013705854

Sandra Boeckmann, LSW is an Addiction (Substance Use Disorder) Counselor in Pontiac, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Practice location Address checks out

920 W Custer Ave
Pontiac, IL 61764-1067
Phone: (815) 844-6109
Fax: (815) 844-3561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1013705854
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedApril 30, 2025
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing address920 W Custer Ave, Pontiac, IL 61764-1067

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