Carol Boylan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05910200 Issued in NJ

Practice address

300 Harper Dr
Moorestown, NJ 08057-3208

Phone

(856) 552-1315

NPI assigned

Mar 4, 2020

Sex

Female

Sole proprietor

No

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 NJ

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Synapse Behavioral Health Inc

  • Psychiatry Physician
  • Voorhees, NJ
  • NPI 1679114292
  NPD
• Psycare Solutions Inc

  • Clinical Psychologist
  • Elkins Park, PA
  • NPI 1316003270
  NPD (past)

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1255966974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BENTLEY DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544501",
            "telephone_number": "856-701-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HARPER DR",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573208",
            "telephone_number": "856-552-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLAN",
        "first_name": "CAROL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05910200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bomze Westonpediatric Dentistry Associates
• Francine Bonaccorsi, PHARMACIST
• Boscovs Department Store LLC (Boscov's Optical)
• Jessica Bowers-Pepe, DO
• Damani Bowman
• BPS Medical of New Jersey, LLC (BAYADA Physician Services)
• BPT Physical Therapy LLC
• Katelyn Brady, PT, DPT
• Brain Matters LLC
• Brandywine Senior Care of Moorestown LLC (Brandywine Senior Care at Moorestown Estates)

• Clinical Social Worker in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.