MEDICARE: MRS. JERALYN BOYD MA, LISW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	I. 1700101	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962825687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JERALYN BOYD MA, LISW

Provider Business Mailing Address
First Line	:	8425 COTTONWOOD DR APT 3
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-5930
Country	:	US
Telephone Number	:	513-499-1765
Fax Number	:

Provider Business Practice Location Address
First Line	:	7162 READING RD STE 500
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-3899
Country	:	US
Telephone Number	:	513-761-6222
Fax Number	:	513-679-4590

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2014
Last Update Date	:	10/20/2023

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