Provider Demographics
NPI:1457562415
Name:BOYKIN, RONA L (LCSW)
Entity type:Individual
Prefix:MRS
First Name:RONA
Middle Name:L
Last Name:BOYKIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2124 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-2234
Mailing Address - Country:US
Mailing Address - Phone:423-698-8300
Mailing Address - Fax:
Practice Address - Street 1:2236 HAMILL RD
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-4031
Practice Address - Country:US
Practice Address - Phone:423-877-5631
Practice Address - Fax:423-876-0394
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN43611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical