Provider Demographics
NPI:1740309426
Name:BOYD, SONJA DYE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SONJA
Middle Name:DYE
Last Name:BOYD
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 1:2425 CYPRESS CT
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-2331
Mailing Address - Country:US
Mailing Address - Phone:336-889-4505
Mailing Address - Fax:
Practice Address - Street 1:2425 CYPRESS CT
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-2331
Practice Address - Country:US
Practice Address - Phone:336-889-4505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0019451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC13939OtherBLUE CROSS BLUE SHIELD
NC3403407Medicaid
NCQ36832AMedicare PIN