Active NPI
Dedrie Boykin, LCSW-C
- Clinical Social Worker
- Laurel, MD
National Provider Identifier
1013263359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17512
- Practice address
- 9208 Redbridge CT
Laurel, MD 20723-1768 - Phone
- (240) 350-9281
- NPI assigned
- Jul 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50079450 | DC | |
| Clinical Social Worker | 1041C0700X | 17512 | MD | Primary |
Addresses
Primary practice location
9208 Redbridge CT
Laurel, MD 20723-1768
Mailing address
9208 Redbridge CT
Laurel, MD 20723-1768
Phone (240) 350-9281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50079450 | DC | MD | Clinical Social Worker |
| 17512 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1013263359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9208 REDBRIDGE CT",
"city": "LAUREL",
"state": "MD",
"postal_code": "207231768",
"telephone_number": "240-350-9281",
"fax_number": "202-877-0343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9208 REDBRIDGE CT",
"city": "LAUREL",
"state": "MD",
"postal_code": "207231768",
"telephone_number": "240-350-9281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYKIN",
"first_name": "DEDRIE",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50079450",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "17512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.