Chynne Kierra Bolden, LSW, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1903964 Issued in OH

Practice address

3541 Dayton Xenia Rd
Dayton, OH 45432-2824

Phone

(937) 219-0219

NPI assigned

Jul 12, 2019

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Ray of Hope Counseling and Health Services

  • Counselor
  • Mason, OH
  • NPI 1003262684
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1639721384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5574 LEIBOLD DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454243831",
            "telephone_number": "937-219-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 DAYTON XENIA RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454322824",
            "telephone_number": "937-219-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "CHYNNE",
        "middle_name": "KIERRA",
        "credential": "LSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1903964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rudy Jordan Bohinc, DO
• John J Bohls
• Richard Kurt Alexander Bohme, DDS, FAGD
• Amy Sue Bokal, M.D.
• Krista D Bolanger, PA
• Nicole Bolden, PEER SUPPORT
• Tyrone Bolden
• Christopher Boldi, PHARM.D.
• Frederick Santi Boldi, CRNA
• Emily E Boldman, PA-C

• Social Worker in Dayton, OH
• Providers in Dayton, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.