Provider Demographics
NPI:1063069441
Name:BOYER, JOCELYN (DEEDEE)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:BOYER
Suffix:
Gender:F
Credentials:DEEDEE
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:
Other - Last Name:BOYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LISW-CP
Mailing Address - Street 1:PO BOX 1090
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29551-1090
Mailing Address - Country:US
Mailing Address - Phone:843-857-0111
Mailing Address - Fax:843-857-0206
Practice Address - Street 1:1268 S 4TH ST
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550
Practice Address - Country:US
Practice Address - Phone:843-332-3422
Practice Address - Fax:843-339-5518
Is Sole Proprietor?:No
Enumeration Date:2019-08-21
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker