Active NPI
Nancy S Burden, LCSW
- Clinical Social Worker
- Viera, FL
National Provider Identifier
1164737813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW10768
- Practice address
- 2900 Veterans Way
Viera, FL 32940-8007 - Phone
- (321) 637-3788
- NPI assigned
- Aug 18, 2010
- Last updated
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C006927 | NC | |
| Clinical Social Worker | 1041C0700X | SW10768 | FL | Primary |
Addresses
Primary practice location
2900 Veterans Way
Viera, FL 32940-8007
Mailing address
2900 Veterans Way
Viera, FL 32940-8007
Phone (321) 637-3788
Other names 1
- Nancy S Boyd
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW10768 | FL | MD | Clinical Social Worker |
| C006927 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1164737813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 VETERANS WAY",
"city": "VIERA",
"state": "FL",
"postal_code": "329408007",
"telephone_number": "321-637-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 VETERANS WAY",
"city": "VIERA",
"state": "FL",
"postal_code": "329408007",
"telephone_number": "321-637-3788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDEN",
"first_name": "NANCY",
"middle_name": "S",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-18",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006927",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW10768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "BOYD",
"middle_name": "S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Viera, FL
- Brevard Hma Home Health, LLC (Mederi Caretenders)
- Brevard Hma Hospice, LLC (Mederi Caretenders Hospice)
- Brevard Hma Nursing Home, LLC
- Brevard Oaks Center, LLC (Viera del Mar Health and Rehabilitation Center)
- Shelli Ann Buckley, MED
- Laura Jeanne Burgess, MSN, FNP-BC
- Jessica Burkhardt, PHARMD
- Natalie Cabrera
- Erin Caleb
- Kenneth S Calhoun, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.