Individual provider Active NPI

Angela CS Boyd, M.DIV., M.S.W., LCSW

  • Clinical Social Worker
  • Westampton, NJ
National Provider Identifier
1043480999
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05541300 Issued in NJ
Practice address
1848 Burlington Mount Holly Rd
# 541
Westampton, NJ 08060-1068
Phone
(609) 531-6143
Fax
(866) 240-9877
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05541300 NJ Primary

Addresses

Primary practice location

1848 Burlington Mount Holly Rd
# 541
Westampton, NJ 08060-1068

Mailing address

6 Sylvan LN
Willingboro, NJ 08046-2033
Phone (609) 531-6143

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05541300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crayne & Smith Psychosocial Services,LLP Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1043480999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SYLVAN LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462033",
            "telephone_number": "609-531-6143",
            "fax_number": "866-240-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 BURLINGTON MOUNT HOLLY RD",
            "address_2": "# 541",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080601068",
            "telephone_number": "609-531-6143",
            "fax_number": "866-240-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "ANGELA",
        "middle_name": "CS",
        "credential": "M.DIV., M.S.W., LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05541300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westampton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.