Individual provider · Type 1 NPI

Tedi Butolph, LCSW

Clinical Social Worker · San Antonio, TX

NPI number 1073909818 Active

Practice location

1115 Mission Rd
San Antonio, TX 78210-4505

Call (210) 533-3504 Map

Mailing address

1006 Wyoming St # 1
San Antonio, TX 78203-1318

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X55407 (TX)

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 1073909818

Tedi Butolph, LCSW's National Provider Identifier is 1073909818, issued on Apr 8, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Antonio, TX. The record was last updated on Apr 8, 2015.