Judith Boyle, LICSW
Individual provider Active NPI Clinical Social Worker · Lincoln, MA
NPI 1093889487 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1093889487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 110620 (MA)
- Practice address
- 46 Greenridge LN
Lincoln, MA 01773-3820 - Phone
- (781) 259-8977
- Fax
- (781) 259-8977
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110620 | MA | Yes |
Addresses
Primary practice location
46 Greenridge LN
Lincoln, MA 01773-3820
Mailing address
46 Greenridge LN
Lincoln, MA 01773-3820
Phone (781) 259-8977
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N03426106 | Other | MA | UNITED BEHAV HEALTH |
| 70010000PO8221 | Other | MA | BLUE CROSS BLUE SHIELD |
| 1853945 | Medicaid | MA |
Other names
- Ms. Judith Maloney Boyle
Other providers in Lincoln, MA
- Diane Bernice Berman
- Thomas George Bjornson
- Camille Blanc
- Diana Barnes Blood
- Daphne Blount
- BSL- BN Commons SNF Operator LLC
- BSL- BN Commons SNF Operator LLC
- Jacqueline Butler
- Center for Dental Medicine & Reconstruction
- Quinn Kin-Wung Chan
All providers in Lincoln, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.