Bertina Hansen Boyd, L.C.S.W.-C.
Individual provider Active NPI Clinical Social Worker · Dunkirk, MD
NPI 1790728194 · NPPES record last updated Jul 20, 2010
Key facts
- NPI
- 1790728194
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 09190 (MD)
- Practice address
- 3175 W Ward Rd
200
Dunkirk, MD 20754-3024 - Phone
- (410) 286-0664
- Fax
- (410) 286-2834
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9190 | MD | MD | Dentist |
| 09190 | MD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09190 | MD | Yes |
Addresses
Primary practice location
3175 W Ward Rd
200
Dunkirk, MD 20754-3024
Mailing address
3175 W Ward Rd
200
Dunkirk, MD 20754-3024
Phone (410) 286-0664
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403192000 | Medicaid | MD |
Other providers in Dunkirk, MD
- Eric Bernon
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- Bhargesh P. Mehta, M.D., P.a.
- Octavie Bih Ambe
- Tod Owen Boehm
- Brightseat Health Baltimore
- Sara Ann Briones
- Ashley Dailey Broderick
- Calvert Chiropractic
- Calvert Family and Cosmetic Dentistry
All providers in Dunkirk, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.