Jeffrey Ronald Boyce, LMSW
Individual provider Active NPI Social Worker · Brewster, NY
NPI 1982300547 · NPPES record last updated Jul 26, 2024
Key facts
- NPI
- 1982300547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 121175-01 (NY)
- Practice address
- 400 Doansburg Rd
Brewster, NY 10509-5902 - Phone
- (845) 279-2995
- NPI assigned
- Feb 6, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121175-01 | NY | MD | Social Worker |
| 44SL06889400 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SL06889400 | NJ | |
| Social Worker | 104100000X | 121175-01 | NY | Yes |
Addresses
Primary practice location
400 Doansburg Rd
Brewster, NY 10509-5902
Mailing address
400 Doansburg Rd
Brewster, NY 10509-5902
Phone (845) 279-2995
Other providers in Brewster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2024. 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.