Individual provider Active NPI

Kerrie Boydman, LCSW

  • Social Worker
  • Pittsburgh, PA
National Provider Identifier
1316257405
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
9400 McKnight Rd
Suite 201
Pittsburgh, PA 15237-6007
Phone
(412) 444-5062
Fax
(724) 625-4257
NPI assigned
Oct 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X PA Primary

Addresses

Primary practice location

9400 McKnight Rd
Suite 201
Pittsburgh, PA 15237-6007

Mailing address

9400 McKnight Rd
Suite 201
Pittsburgh, PA 15237-6007
Phone (412) 444-5062

Other practice location 1

187 Deer Creek Rd
Saxonburg, PA 16056-9755
Phone (412) 444-5062

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kerrie Boydman, LCSW LCC Current Accepting new patients

Locations

9400 McKnight Rd
Ste 201
Pittsburgh, PA 15237
Phone (412) 444-5062

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.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1316257405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 MCKNIGHT RD",
            "address_2": "SUITE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152376007",
            "telephone_number": "412-444-5062",
            "fax_number": "412-837-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 MCKNIGHT RD",
            "address_2": "SUITE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152376007",
            "telephone_number": "412-444-5062",
            "fax_number": "724-625-4257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 Deer Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Saxonburg",
            "state": "PA",
            "postal_code": "160569755",
            "country_code": "US",
            "telephone_number": "412-444-5062",
            "fax_number": "724-625-4257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYDMAN",
        "first_name": "KERRIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.