Wynnette R Boykin, MSW, LISW-S

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I.2002137-SUPV Issued in OH

Practice address

1165 Eaton Ave
Hamilton, OH 45013-1402

Phone

(513) 868-7700

Fax

(513) 896-3600

NPI assigned

Feb 14, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Hospital Medical Center

  dba Cincinnati Children's Hospital Medical Center

  • Pediatrics Physician
  • Cincinnati, OH
  • NPI 1609915784

  Social Worker

  Medicare reassignment NPD
• Catalyst Counseling LLC

  • Community/Behavioral Health Agency
  • West Chester, OH
  • NPI 1437532215

  Clinical

  NPD (past)

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1972876431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5971 BEATY LN",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450112201",
            "telephone_number": "513-512-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 EATON AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450131402",
            "telephone_number": "513-868-7700",
            "fax_number": "513-896-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6881 Beechmont Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45230",
            "country_code": "US",
            "telephone_number": "513-409-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYKIN",
        "first_name": "WYNNETTE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MSW,  LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S1451244",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2002137-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S1451244",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassaundra C Boyd-Reynolds
• Kenysha N Boyd, LPN
• Stephen Charles Boyd, D.C.
• Zoe Diana Boyer
• Bobbi Boykin
• Angelina Boyle
• Joy Ann Boyle, COTA/L
• Phillip L Bradbury
• Bradford Place Care Center
• Bradford Place Care Center

• Social Worker in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.