Provider Demographics
NPI:1558023259
Name:BOYD, CARA A (LSCSW)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:A
Last Name:BOYD
Suffix:
Gender:
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 QUAIL CIR
Mailing Address - Street 2:
Mailing Address - City:TURPIN
Mailing Address - State:OK
Mailing Address - Zip Code:73950-2046
Mailing Address - Country:US
Mailing Address - Phone:575-708-0202
Mailing Address - Fax:
Practice Address - Street 1:21 PLAZA DR STE 7
Practice Address - Street 2:
Practice Address - City:LIBERAL
Practice Address - State:KS
Practice Address - Zip Code:67901-2791
Practice Address - Country:US
Practice Address - Phone:575-708-0202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-10
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS055591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical