Provider Demographics
NPI:1609178318
Name:BOYD, HERBERT A JR (LICSW)
Entity Type:Individual
Prefix:MR
First Name:HERBERT
Middle Name:A
Last Name:BOYD
Suffix:JR
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3230 PENNSYLVANIA AVE SE
Mailing Address - Street 2:SUITE 213
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-3736
Mailing Address - Country:US
Mailing Address - Phone:202-583-1181
Mailing Address - Fax:202-583-1186
Practice Address - Street 1:3230 PENNSYLVANIA AVE SE
Practice Address - Street 2:SUITE 213
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3722
Practice Address - Country:US
Practice Address - Phone:202-583-1181
Practice Address - Fax:202-583-1186
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3004761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical