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NPI Code Detail

MEDICARE: FELICIA BOYD LCSW, LCASA

MEDICARE:   FELICIA  BOYD  LCSW, LCASA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC014125NC
2101YA0400XAddiction (Substance Use Disorder) CounselorLCAS-22780NC

General Provider Information

NPI Number : 1225426067
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELICIA BOYD LCSW, LCASA
Provider Business Mailing Address
First Line : 3125 POPLARWOOD CT STE 203
Second Line :
City : RALEIGH
State : NC
Zip : 27604-6445
Country : US
Telephone Number : 919-787-6131
Fax Number : 919-571-2932
Provider Business Practice Location Address
First Line : 3117 POPLARWOOD CT STE 115
Second Line :
City : RALEIGH
State : NC
Zip : 27604-1040
Country : US
Telephone Number : 919-787-6131
Fax Number : 919-571-2932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2015
Last Update Date : 02/27/2025

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