| Provider / Organization | NPI | Date Certified |
|---|---|---|
| FRED F BOYKIN | 1003916602 | 2022-12-03 |
Fred Boykin [M] graduated in 1990 and primarily specializes in Clinical Social Worker.
Fred F Boykin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1003916602. Registration indicates Fred F Boykin is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| PECOS ID | 6204992258 |
| Registration | PART-B:Y DME:Y HHA:N PMD:N |
| Entity Type | Individual |
| Provider Name | Mr. Fred F Boykin MSW |
| Practice Office Address | 2312 WILTON DR STE 29 WILTON MANORS, FL US |
| Practice Office Telephone | 3014043602 |
| Practice Office Fax | 3015763538 |
| Mailing Address | 333 LAS OLAS WAY APT 2304 FORT LAUDERDALE, FL 333012388 US |
| Business Telephone | 3014043602 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | SW14084
FL |