Active NPI
Tushonda Fleeton Boyd, LCSW
- Clinical Social Worker
- Biloxi, MS
National Provider Identifier
1700966850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C5605
- Practice address
- 232 Eisenhower Dr Ste B
Biloxi, MS 39531-3601 - Phone
- (601) 688-4118
- Fax
- (228) 206-1064
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | C5605 | MS | Primary |
Addresses
Primary practice location
232 Eisenhower Dr Ste B
Biloxi, MS 39531-3601
Mailing address
PO Box 6771
Diberville, MS 39540-6771
Phone (601) 688-4118
Other practice location 1
400 Veterans Ave
Biloxi, MS 39531-2410
Phone (228) 523-5176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5605 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Made Counseling Services LLC | Clinical | Current | Accepting new patients |
| PRX Health Institute, LLC | Past | Accepting new patients |
Locations
232 Eisenhower Dr
#B
Biloxi, MS 39531
Phone (228) 207-5191
Organizations & group practices 2
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
- Biloxi, MS
- NPI 1023695004
-
- Urgent Care Clinic/Center
- Biloxi, MS
- NPI 1366814188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1700966850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6771",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395406771",
"telephone_number": "601-688-4118",
"fax_number": "228-220-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 EISENHOWER DR STE B",
"city": "BILOXI",
"state": "MS",
"postal_code": "395313601",
"telephone_number": "601-688-4118",
"fax_number": "228-206-1064"
}
],
"practiceLocations": [
{
"address_1": "400 Veterans Ave",
"address_purpose": "LOCATION",
"city": "Biloxi",
"state": "MS",
"postal_code": "395312410",
"country_code": "US",
"telephone_number": "228-523-5176",
"fax_number": "228-523-5257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYD",
"first_name": "TUSHONDA",
"middle_name": "FLEETON",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C5605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.