Active NPI
Monique Cecillia Boyd
- Clinical Social Worker
- Burgaw, NC
National Provider Identifier
1982863247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P013662
- Practice address
- 309 Progress Drive
Burgaw, NC 28425 - Phone
- (910) 259-0668
- Fax
- (910) 259-4526
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- 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 | P013662 | Primary |
Addresses
Primary practice location
309 Progress Drive
Burgaw, NC 28425
Mailing address
615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 259-0668
Other practice location 1
100 Brewster Blvd
Camp Lejeune, NC 28547-2538
Phone (910) 451-5125 ext. 221
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": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564444800000",
"number": "1982863247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126431",
"telephone_number": "910-259-0668",
"fax_number": "910-259-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 PROGRESS DRIVE",
"city": "BURGAW",
"state": "NC",
"postal_code": "28425",
"telephone_number": "910-259-0668",
"fax_number": "910-259-4526"
}
],
"practiceLocations": [
{
"address_1": "100 Brewster Blvd",
"address_purpose": "LOCATION",
"city": "Camp Lejeune",
"state": "NC",
"postal_code": "285472538",
"country_code": "US",
"telephone_number": "910-451-5125 x221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYD",
"first_name": "MONIQUE",
"middle_name": "CECILLIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2019-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "P013662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burgaw, NC
- Black River Health Services Inc
- Black River Health Services, Inc.
- Black River Health Services, Inc.
- Taylor Ann Blake, ATS
- Matthew La Toura Boney, ESQ
- Michelle Lauren Brand, CCC-SLP
- Michael Brown, PHARMD
- Bryan Weckel MD Family Medicine PLLC
- Megan Sarah Buchheister, RD, LDN
- Burgaw Eye Center, O.D., P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.