Individual provider · Type 1 NPI

Samuel Blackman Boyles, LCSW

Clinical Social Worker · Ithaca, NY

NPI number 1720753262 Active

Practice location

127 W State St
Ithaca, NY 14850-5474

Call (607) 273-7494 Map

Mailing address

401 Linn St
Ithaca, NY 14850-3738

Other practice locations

  • 950 Danby Rd Ste 202R, Ithaca, NY 14850-5714 · (609) 240-3404

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1720753262

Samuel Blackman Boyles, LCSW's National Provider Identifier is 1720753262, issued on Aug 16, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ithaca, NY. The record was last updated on Aug 27, 2025.