Fred F Boykin, MSW
Individual provider Active NPI Clinical Social Worker · Wilton Manors, FL
NPI 1003916602 · NPPES record last updated Dec 3, 2022
Key facts
- NPI
- 1003916602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW14084 (FL)
- 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
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170622002664 | FL | Practitioner - Clinical Social Worker | 6204992258 | Practice locations: Fort Lauderdale, FL; Wilton Manors, FL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW14084 | FL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW14084 | FL | Yes |
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
Other providers in Wilton Manors, FL
- Bill Bracker, PSYD, LLC
- Bioscrip Pharmacy, Inc.
- Trista Birdwell
- Kevin Robert Bochenek
- Maria L Bondi
- William Bracker Jr.
- Brad Zucker Consulting
- Tasia Arianna Bradley
- James Brauss
- Giancarlo Brezillion
All providers in Wilton Manors, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.