Active NPI
Tracy L. Boyd, LICSW
- Clinical Social Worker
- Largo, FL
National Provider Identifier
1689779985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12510
- Practice address
- 1301 Seminole Blvd Ste 111B
Largo, FL 33770 - Phone
- (727) 754-4936
- NPI assigned
- Sep 13, 2006
- 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 | 12510 | FL | Primary |
Addresses
Primary practice location
1301 Seminole Blvd Ste 111B
Largo, FL 33770
Mailing address
1357 Forestedge Blvd
Oldsmar, FL 34677-5119
Phone (206) 919-3595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8902748 | Other | WA | L&I CRIME VICTIMS |
Other names 1
- Tracy L. Boyd
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12510 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Option Center, Inc | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tampa, FL
- NPI 1568576163
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1689779985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1357 FORESTEDGE BLVD",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346775119",
"telephone_number": "206-919-3595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 SEMINOLE BLVD STE 111B",
"city": "LARGO",
"state": "FL",
"postal_code": "33770",
"telephone_number": "727-754-4936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "TRACY",
"middle_name": "L.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "12510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIMS",
"identifier": "8902748",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "BOYD",
"middle_name": "L.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.