Chanda Elaine Boyden-Deidrick, MSW, LCSW, LISW
Individual provider Active NPI Clinical Social Worker · Pittsboro, IN
NPI 1629774286 · NPPES record last updated Apr 14, 2023
Key facts
- NPI
- 1629774286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34007615A (IN)
- Practice address
- 1731 E County Road 600 N
Pittsboro, IN 46167-9011 - Phone
- (317) 938-8517
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34007615A | IN | MD | Clinical Social Worker |
| I.2203741 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Path Therapy P.C. | Clinical | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.2203741 | OH | |
| Clinical Social Worker | 1041C0700X | 34007615A | IN | Yes |
Addresses
Primary practice location
1731 E County Road 600 N
Pittsboro, IN 46167-9011
Mailing address
1731 E County Road 600 N
Pittsboro, IN 46167-9011
Phone (317) 938-8517
Other providers in Pittsboro, IN
- Elizabeth Allen
- Madeline Andrews
- Ademola A. Ayandele
- Kelsey Rae Barrett
- Crystal Benner
- Rex Callis
- Compass Feeding, LLC
- Heidi Jo Coppess
- Deborah Dillon
- Kimberly J Drone
All providers in Pittsboro, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.