Kendra Dora Boylan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

097498 Issued in NY

Practice address

1410 Prospect PL Apt B3
Brooklyn, NY 11213-2406

Phone

(707) 321-0880

NPI assigned

Jun 10, 2024

Sex

Unspecified or another gender identity

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1447092564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 PROSPECT PL APT B3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132406",
            "telephone_number": "707-321-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 PROSPECT PL APT B3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132406",
            "telephone_number": "707-321-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLAN",
        "first_name": "KENDRA",
        "middle_name": "DORA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berdiyor Boyirbekov
• Cathy-Ann Hillary Boyke, PA-C
• Evelyn Boykin
• Melissa Nia Boykin, LCSW
• Anna Boyko
• Michael Edward Boylan, PT, DPT
• Joseph John Boyle, MHC-LP
• Kelly Boyle, PA-C
• Kelsey Boyle, B.S.
• Matthew Joseph Boyle

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.