MR. FRED F BOYKIN (MSW) – Clinical Social Worker, NPI 1003916602

MR. FRED F BOYKIN (MSW) is a healthcare provider. based in Fort lauderdale, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. SW14084 (FL). The NPI Number for MR. FRED F BOYKIN (MSW) is 1003916602

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
MR. FRED F BOYKIN (MSW)
NPI
1003916602
Phone
(301) 404-3602
Address
333 LAS OLAS WAY APT 2304
Enumeration Date
23 September 2006
Last Update Date
3 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3014043602
Graduation Year
1990 (36 years ago)
PAC ID
6204992258
Professional Enrollment ID
I20170622002664
Address ID
FL333051249WI2312XDRXX305
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

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Provider Addresses for MR. FRED F BOYKIN (MSW)

  • 333 LAS OLAS WAY APT 2304

    FORT LAUDERDALE, FL 333012388

    Phone: (301) 404-3602

    Type: Mailing

  • 2312, Wilton Drive, Wilton Manors, Broward County, Florida, 33305, United States

    STE 29

    WILTON MANORS, FL 333051249

    Phone: (301) 404-3602

    Fax: (301) 576-3538

    Type: Location

  • 846, Northeast 22nd Drive, Coral Estates, Wilton Manors, Broward County, Florida, 33305, United States

    STE 29

    WILTON MANORS, FL 333051249

    Phone: (301) 404-3602

    Fax: (301) 576-3538

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-06-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170622002664IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33301)

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Reviews

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Frequently asked questions

What is the standard ID for MR. FRED F BOYKIN (MSW) in the U.S.?
In the U.S., MR. FRED F BOYKIN (MSW) is identified by NPI 1003916602.
Should I treat MR. FRED F BOYKIN (MSW) as an active provider?
Patients and plans typically see MR. FRED F BOYKIN (MSW) as active in the national extract.
How should patients interpret MR. FRED F BOYKIN (MSW)'s specialty?
The extract shows Clinical Social Worker for MR. FRED F BOYKIN (MSW). Clinical services aligned with this taxonomy classification.
Which community is linked to MR. FRED F BOYKIN (MSW)?
MR. FRED F BOYKIN (MSW) shows a connection to Fort Lauderdale, Florida in registry-derived data.
Who maintains MR. FRED F BOYKIN (MSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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