MR. SAMUEL HENRY BOYD LSW LICDC-CS NPI 1417480195

NPI Information

NPI: 1417480195
Provider Name: MR. SAMUEL HENRY BOYD, LSW, LICDC-CS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2050 KENNY RD
SUITE 3300
COLUMBUS, OH
ZIP 43221
Phone: (614) 685-2730
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MR. Samuel Henry Boyd, LSW, LICDC-CS is an addiction (substance use disorder) counselor in Columbus, OH. MR. Samuel Henry Boyd, LSW, LICDC-CS NPI is 1417480195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2050 KENNY RD
SUITE 3300
COLUMBUS, OH
ZIP 43221-502
Phone: (614) 685-2730
Fax: (614) 293-9502

The enumeration date for this NPI number is 4/10/2017 and was last updated on 4/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		S-0015831	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	965723	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	104100000X	MEDICAID	OHIO
2	101YA0400X	MEDICAID	OHIO
3	101Y60000X	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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