Active NPI
Kandice Boyd
- Clinical Social Worker
- Springfield, MA
National Provider Identifier
1104229772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 221715
- Practice address
- 1000 State St
Springfield, MA 01109-3151 - Phone
- (413) 205-3248
- NPI assigned
- Sep 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 221715 | MA | Primary |
Addresses
Primary practice location
1000 State St
Springfield, MA 01109-3151
Mailing address
1000 State St
Springfield, MA 01109-3151
Other practice location 1
417 Liberty St
Springfield, MA 01104-3736
Phone (413) 733-6661
Other practice location 2
494 Appleton St
Holyoke, MA 01040-3211
Phone (413) 420-2303
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
| License | State | Type | Specialty |
|---|---|---|---|
| 221715 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1104229772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 STATE ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011093151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 STATE ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011093151",
"telephone_number": "413-205-3248"
}
],
"practiceLocations": [
{
"address_1": "417 Liberty St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011043736",
"country_code": "US",
"telephone_number": "413-733-6661",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "494 Appleton St",
"address_purpose": "LOCATION",
"city": "Holyoke",
"state": "MA",
"postal_code": "010403211",
"country_code": "US",
"telephone_number": "413-420-2303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYD",
"first_name": "KANDICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-26",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "221715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.