Active NPI
Kelly J Boyd, LMSW
- Social Worker
- Smithtown, NY
National Provider Identifier
1487250486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 105988-1
- Practice address
- 11 Route 111
Smithtown, NY 11787-3754 - Phone
- (631) 656-9550
- NPI assigned
- Dec 7, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 105988-1 | NY | Primary |
Addresses
Primary practice location
11 Route 111
Smithtown, NY 11787-3754
Mailing address
11 Route 111
Smithtown, NY 11787-3754
Phone (631) 656-9550
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105988-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1487250486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 ROUTE 111",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873754",
"telephone_number": "631-656-9550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 ROUTE 111",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873754",
"telephone_number": "631-656-9550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "KELLY",
"middle_name": "J",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "105988-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.