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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TINA MARIE OTTMAN-BOYKIN, MSE LCSW LPC NCC

Active Sole Proprietor

MRS. TINA MARIE OTTMAN-BOYKIN, MSE LCSW LPC NCC is a Clinical Social Worker healthcare provider located in PLYMOUTH, Wisconsin. NPI 1760595300 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PLYMOUTH, WI

Registration Details

NPI Number
1760595300
Provider Type
Individual
Gender
Female
NPI Issued
Aug 17, 2006 (19.808179001182 yrs)
Last Updated
May 9, 2023
Licenses
1568125 (WI)
2886123 (WI)
Sole Proprietor
Yes

Practice Information

Address
2209 EASTERN AVE
PLYMOUTH, WI, 530734281
Browse WI providers · Browse ZIP 53073
Phone
9208927606
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in PLYMOUTH, WI

Name Credential NPI
MS. RACHEL M NELSON LCSW, CSAC 1457400418
MRS. HEIDI ANN BUTLER MSW, LCSW, CSAC 1821136300
LAURA ROBERTS MSW 1083008684
AMANDA MARIE ANHALT LCSW, CSAC 1447758693
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.