Active NPI
Maykin Kimberly Boyd, MSW, LCSW, LCAS-A
- Clinical Social Worker
- New Bern, NC
National Provider Identifier
1376021949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2818 Neuse Blvd
New Bern, NC 28562-2850 - Phone
- (252) 636-4920
- NPI assigned
- Aug 5, 2018
- Last updated
- Oct 12, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | C013441 | NC | |
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
2818 Neuse Blvd
New Bern, NC 28562-2850
Mailing address
2818 Neuse Blvd
New Bern, NC 28562-2850
Phone (252) 636-4920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376021949 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Unknown |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1376021949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 NEUSE BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285622850",
"telephone_number": "252-636-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2818 NEUSE BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285622850",
"telephone_number": "252-636-4920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "MAYKIN",
"middle_name": "KIMBERLY",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW, LCAS-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-05",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "C013441",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376021949",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Unknown",
"affiliation": "N",
"address_1": "2818 Neuse Blvd",
"city": "New Bern",
"state": "NC",
"country_code": "US",
"postal_code": "285622850",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.