Individual provider · Type 1 NPI
Alexis Boothby, LCSW
Clinical Social Worker · Los Angeles, CA
Practice location
4116 Camero Ave
Los Angeles, CA 90027-4517
Mailing address
PO Box 27243
Los Angeles, CA 90027-0243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 122485 (CA) |
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 1205679446
Alexis Boothby, LCSW's National Provider Identifier is 1205679446, issued on Jun 17, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 14, 2024.