MEDICARE: MS. MARGARET SUE BOYD LCSW

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
1	1041C0700X	Clinical Social Worker	24597	CA

General Provider Information

NPI Number	:	1174682942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGARET SUE BOYD LCSW

Provider Business Mailing Address
First Line	:	438 CAMINO DEL RIO S STE 112
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3546
Country	:	US
Telephone Number	:	619-787-6676
Fax Number	:	619-516-3594

Provider Business Practice Location Address
First Line	:	438 CAMINO DEL RIO S STE 112
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3546
Country	:	US
Telephone Number	:	619-787-6676
Fax Number	:	619-516-3594

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2006
Last Update Date	:	01/27/2025

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