Organization Active NPI

Nancy E Beth Boyett Licsw LLC

  • Clinical Social Worker
  • Fairhope, AL
National Provider Identifier
1710523980
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NANCY E BETH BOYETT LICSW LLC
Practice address
21180 State Highway 181 Ste 2
Fairhope, AL 36532-7454
Phone
(251) 327-5166
Fax
(251) 210-7337
NPI assigned
Nov 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancy E Boyett, LICSW
Title
Owner
Phone
(251) 327-5166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

21180 State Highway 181 Ste 2
Fairhope, AL 36532-7454

Mailing address

21180 State Highway 181 Ste 2
Fairhope, AL 36532-7454
Phone (251) 327-5166

National Provider Directory

National Provider Directory

Locations

21180 State Highway 181
Ste 2
Fairhope, AL 36532
Phone (251) 274-1288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1710523980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21180 STATE HIGHWAY 181 STE 2",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365327454",
            "telephone_number": "251-327-5166",
            "fax_number": "251-210-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21180 STATE HIGHWAY 181 STE 2",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365327454",
            "telephone_number": "251-327-5166",
            "fax_number": "251-210-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY E BETH BOYETT LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "BOYETT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-327-5166",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.

Verify at the official NPI Registry.