Individual provider · Type 1 NPI

Brendan James Boatman

Clinical Social Worker · Winston Salem, NC

NPI number 1225956436 Active

Practice location

250 Executive Park Blvd Ste 120
Winston Salem, NC 27103-1534

Fax (336) 893-0569

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP023825 (NC)

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 1225956436

Brendan James Boatman's National Provider Identifier is 1225956436, issued on Jul 7, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Winston Salem, NC. The record was last updated on Jul 7, 2026.