Patrice Kenyatta Boyce, LCSW

Individual provider Active NPI Clinical Social Worker · Middlebury, CT

NPI 1205144367 · NPPES record last updated Mar 22, 2026

Key facts

NPI
1205144367
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
008891 (CT)
Practice address
850 Straits Tpke Ste 203
Middlebury, CT 06762-2843
Phone
(203) 632-7020
Fax
(203) 465-6337
NPI assigned
Sep 22, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210409000774 CT Practitioner - Clinical Social Worker 1355758566

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
008891CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Care of Connecticut LLC Current
since Dec 6, 2023
Accepting new patients

Locations

850 Straits Tpke
Ste 203
Middlebury, CT 06762
Phone (203) 632-7020

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 008891 CT Yes

Addresses

Primary practice location

850 Straits Tpke Ste 203
Middlebury, CT 06762-2843

Mailing address

850 Straits Tpke Ste 203
Middlebury, CT 06762-2843
Phone (203) 632-7020

Other providers in Middlebury, CT

All providers in Middlebury, CT · Clinical Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.