Individual provider · Type 1 NPI

Nikulas Lagene Boudreaux

Clinical Social Worker · Baltimore, MD

NPI number 1053837443 Active

Practice location

755 W Hamburg St
Baltimore, MD 21230-2540

Call (915) 490-0002 Map

Mailing address

3612 N Chouteau Trfy Apt B
Kansas City, MO 64117-3106

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X08092017273360 (MO)
Clinical Social Worker Primary 1041C0700X10341 (KS)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1053837443

Nikulas Lagene Boudreaux's National Provider Identifier is 1053837443, issued on Aug 17, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baltimore, MD. The record was last updated on Jun 24, 2023.