Active NPI
Fred F Boykin, MSW
- Clinical Social Worker
- Wilton Manors, FL
National Provider Identifier
1003916602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW14084
- Practice address
- 2312 Wilton Dr
Ste 29
Wilton Manors, FL 33305-1249 - Phone
- (301) 404-3602
- Fax
- (301) 576-3538
- NPI assigned
- Sep 23, 2006
- Last updated
- Dec 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW14084 | FL | Primary |
Addresses
Primary practice location
2312 Wilton Dr
Ste 29
Wilton Manors, FL 33305-1249
Mailing address
333 Las Olas Way Apt 2304
Fort Lauderdale, FL 33301-2388
Phone (301) 404-3602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170622002664 | FL | Practitioner - Clinical Social Worker | 6204992258 | Practice locations: Fort Lauderdale, FL; Wilton Manors, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2312 Wilton Dr
Suite 29
Wilton Manors, FL 33305-1249
Phone (301) 404-3602
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07765 | MD | MD | Pharmacist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Bethesda, MD
- NPI 1821198425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670025600000",
"number": "1003916602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 LAS OLAS WAY APT 2304",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333012388",
"telephone_number": "301-404-3602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2312 WILTON DR",
"address_2": "STE 29",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333051249",
"telephone_number": "301-404-3602",
"fax_number": "301-576-3538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYKIN",
"first_name": "FRED",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2022-12-03",
"certification_date": "2022-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW14084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilton Manors, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.