Provider Demographics
NPI:1588766737
Name:MCNEALY-BOSWELL, KAREN CORNELIA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:CORNELIA
Last Name:MCNEALY-BOSWELL
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:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:TUSKEGEE INSTITUTE
Mailing Address - State:AL
Mailing Address - Zip Code:36087-0326
Mailing Address - Country:US
Mailing Address - Phone:334-552-2186
Mailing Address - Fax:
Practice Address - Street 1:5700 VETERANS PKWY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-9093
Practice Address - Country:US
Practice Address - Phone:706-221-3222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1791C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical