Active NPI
Tyla Boyd, MSW, LSW
- Clinical Social Worker
- South Euclid, OH
National Provider Identifier
1508527615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S.0900601
- Practice address
- 1606 Westdale Rd
South Euclid, OH 44121-3022 - Phone
- (740) 632-2665
- NPI assigned
- Jan 2, 2022
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S.0900601 | OH | Primary |
Addresses
Primary practice location
1606 Westdale Rd
South Euclid, OH 44121-3022
Mailing address
1606 Westdale Rd
South Euclid, OH 44121-3022
Phone (740) 632-2665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S.0900601 | Medicaid | OH |
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 |
|---|---|---|---|
| S.0900601 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tree of Life Therapy | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Berea, OH
- NPI 1326783093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1508527615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 WESTDALE RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441213022",
"telephone_number": "740-632-2665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 WESTDALE RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441213022",
"telephone_number": "740-632-2665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "TYLA",
"credential": "MSW, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-02",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.0900601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "S.0900601",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.