Carmen L Boyd, LCSW
Individual provider Active NPI Clinical Social Worker · Jonesboro, AR
NPI 1043821598 · NPPES record last updated Dec 2, 2024
Key facts
- NPI
- 1043821598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 10116-C (AR)
- Practice address
- 2712 E Johnson Ave
Jonesboro, AR 72405-1874 - Phone
- (870) 932-2800
- Fax
- (870) 932-1189
- NPI assigned
- Aug 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Bernards Hospital Inc.
Practice addresses (Care Compare)
2712 E Johnson Ave
Jonesboro, AR 72405-1874
Phone (870) 972-4100
615 E Matthews Ave
SBBH/Counseling
Jonesboro, AR 72401-3145
Phone (870) 930-9090
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- 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 |
|---|---|---|---|---|
| I20241223002199 | AR | Practitioner - Clinical Social Worker | 0143757674 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Bernards Hospital Inc | Current |
Accepting new patients | |
| St. Bernards Hospital, Inc | Current | Accepting new patients | |
| Vibrant Therapy Collective, LLC | Clinical | Current |
Accepting new patients |
| St Bernards Hospital Inc. | Current |
Accepting new patients | |
| Converge Therapy, LLC | Clinical | Current | Accepting new patients |
Locations
2712 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 268-4107
262 Southwest Dr
Jonesboro, AR 72401
Phone (870) 203-6100
1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 10116-C | AR | Yes |
Addresses
Primary practice location
2712 E Johnson Ave
Jonesboro, AR 72405-1874
Mailing address
2712 E Johnson Ave
Jonesboro, AR 72405-1874
Phone (870) 932-2800
Other providers in Jonesboro, AR
- Raven Bowman
- Sharon H Bowman
- Dorcy Bowser
- Tara N Boyce
- Audra Boyd
- Coy Macarthur Boyd Jr.
- Dusty James Boyd
- Emily Boyd
- Kasey Boyd
- Kenley Cherie Boyd
All providers in Jonesboro, AR · Clinical Social Worker in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2024. 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.