Ms Chanda Elaine Boyden-deidrick, MSW, LCSW, LISW is a
Social Worker - Clinical based in Pittsboro, Indiana. Ms Chanda Elaine Boyden-deidrick is licensed to practice in Indiana (license number 34007615A) and her current practice location is
1731 E County Road 600 N, Pittsboro, Indiana. She can be reached at her office (for appointments etc.) via phone at
(317) 938-8517.
NPI number for Ms Chanda Elaine Boyden-deidrick is 1629774286 and her current mailing address is 1731 E County Road 600 N, Pittsboro, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629774286.
Healthcare Provider's Profile
| Full Name | Ms Chanda Elaine Boyden-deidrick |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1731 E County Road 600 N, Pittsboro, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629774286
- Provider Enumeration Date: 02/06/2023
- Last Update Date: 04/14/2023
Medical Identifiers
Medical identifiers for Ms Chanda Elaine Boyden-deidrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629774286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | I.2203741 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34007615A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Chanda Elaine Boyden-deidrick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ms Chanda Elaine Boyden-deidrick, MSW, LCSW, LISW 1731 E County Road 600 N, Pittsboro, IN 46167-9011 Ph: (317) 938-8517 | Ms Chanda Elaine Boyden-deidrick, MSW, LCSW, LISW 1731 E County Road 600 N, Pittsboro, IN 46167-9011 Ph: (317) 938-8517 |
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