Active NPI
Shirley Boyd
- Clinical Social Worker
- Rock Hill, SC
National Provider Identifier
1932211463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2390
- Practice address
- 166 Dotson St
Rock Hill, SC 29732-2334 - Phone
- (803) 327-2012
- Fax
- (803) 327-4198
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2390 | SC | Primary |
Addresses
Primary practice location
166 Dotson St
Rock Hill, SC 29732-2334
Mailing address
225 E Main St
Ste 300
Rock Hill, SC 29730-4541
Phone (803) 328-9600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2390 | SC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932211463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E MAIN ST",
"address_2": "STE 300",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297304541",
"telephone_number": "803-328-9600",
"fax_number": "803-329-7141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 DOTSON ST",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322334",
"telephone_number": "803-327-2012",
"fax_number": "803-327-4198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "SHIRLEY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "2390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.