Amy Boycott
Individual provider Active NPI Social Worker · Lexington, KY
NPI 1104352228 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1104352228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 2250 Thunderstick Dr Ste 1104
Lexington, KY 40505-9009 - Phone
- (502) 257-4385
- NPI assigned
- May 10, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
2250 Thunderstick Dr Ste 1104
Lexington, KY 40505-9009
Mailing address
2250 Thunderstick Dr Ste 1104
Lexington, KY 40505-9009
Phone (502) 257-4385
Other practice location 1
804 Main St
Shelbyville, KY 40065-1224
Phone (502) 257-4385
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.