Janice Nadean Boykin-Miles, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018701 Issued in IL

Practice address

2629 E 142ND St
Burnham, IL 60633-2003

Phone

(708) 699-6086

Fax

(708) 575-3115

NPI assigned

Oct 29, 2016

Last updated

Mar 15, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cognitive Care Counseling, PLLC

  • Clinical Social Worker
  • Huntley, IL
  • NPI 1013532191
  NPD (past)

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

{
    "created_epoch": "1477699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1194277780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 E 142ND ST",
            "city": "BURNHAM",
            "state": "IL",
            "postal_code": "606332003",
            "telephone_number": "708-699-7086",
            "fax_number": "708-575-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 E 142ND ST",
            "city": "BURNHAM",
            "state": "IL",
            "postal_code": "606332003",
            "telephone_number": "708-699-6086",
            "fax_number": "708-575-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKIN-MILES",
        "first_name": "JANICE",
        "middle_name": "NADEAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-29",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Kaye Anderson
• Aunt Martha's Youth Service Center, Inc
• Brittany Marie Barajas, CCC-SLP
• Lacretia Brazzleton
• Daniel Brown
• James Bryan
• Burnham Healthcare Properties,LLC (burnham healthcare)
• Burnham School District 154.5

• Clinical Social Worker in Burnham, IL
• Providers in Burnham, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.