Active NPI
Clarence Boyd, LCSW
- Social Worker
- Garne, NC
National Provider Identifier
1841201332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- C001756
- Practice address
- 2824 Escondido Farm Road
Garne, NC 27529 - Phone
- (919) 779-3979
- NPI assigned
- Aug 10, 2006
- Last updated
- Mar 1, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | C001756 | NU | Primary |
Addresses
Primary practice location
2824 Escondido Farm Road
Garne, NC 27529
Mailing address
2824 Escondido Farm Road
Garne, NC 27529
Phone (919) 779-3979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17202 | Other | BCBS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204329600000",
"number": "1841201332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2824 ESCONDIDO FARM ROAD",
"city": "GARNE",
"state": "NC",
"postal_code": "27529",
"telephone_number": "919-779-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2824 ESCONDIDO FARM ROAD",
"city": "GARNE",
"state": "NC",
"postal_code": "27529",
"telephone_number": "919-779-3979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "CLARENCE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2008-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": "C001756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "17202",
"state": null
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.