Individual provider · Type 1 NPI

Randall Beaubouef, MSW

Clinical Social Worker · Cheyenne, WY

NPI number 1356647291 Active

Practice location

2909 Bent Ave
Cheyenne, WY 82001-2742

Fax (307) 742-9905

Mailing address

PO Box 1304
Laramie, WY 82073-1304

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X451 (WY)

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 1356647291

Randall Beaubouef, MSW's National Provider Identifier is 1356647291, issued on Feb 9, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cheyenne, WY. The record was last updated on Feb 9, 2011.