Gillian Boyd, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0121129 Issued in VT

Practice address

2606 Brown Pelican Ave
Tampa, FL 33621-5547

Phone

(813) 826-2263

NPI assigned

Oct 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1154920536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 BROWN PELICAN AVE BLDG 149",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336215547",
            "telephone_number": "813-826-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 BROWN PELICAN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336215547",
            "telephone_number": "813-826-2263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3147 Eel Alley Building 271, Room 106",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921360001",
            "country_code": "US",
            "telephone_number": "619-556-8316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "GILLIAN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-18",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0121129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gillian.l.boyd.ctr@socom.mil",
            "affiliation": "N",
            "address_1": "2606 Brown Pelican Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336215547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cara Bowser, PHARM. D.
• Edmond Worley Box III, MD
• Benjamin Boxwell, B.A.
• Jennifer Mary Boyce, LPN
• Russell Gerard Boyce, M.S. , CCC-SLP
• Gwendolynn Boyd, PA-C
• Janet Boyd
• Jennifer Michelle Boyd, PA-C
• Jonathan Boyd, M.S.
• Meg Elise Boyd, M.S., CCC-SLP

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.