Individual provider · Type 1 NPI
Jerry Paul Boudreaux, L C S W
Clinical Social Worker · Gulfport, MS
Practice location
549 E Pass Rd, Suite P
Gulfport, MS 39507-3261
Fax (228) 897-6003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 0058 (MS) |
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…
2 other providers at this address
Other clinical social worker providers in Gulfport
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- Shelia Rivers, DSW, LCSW, MPHClinical Social Worker Gulfport, MS NPI 1003267444
- Mona Marie Holloway, LCSWClinical Social Worker Gulfport, MS NPI 1003679549
- Susan Elizabeth Pyles, LCSW, BCDClinical Social Worker Gulfport, MS NPI 1013022318
- Juliet LiuzzaClinical Social Worker Gulfport, MS NPI 1023853058
- Jocelyn Gavin-Lane, LCSWClinical Social Worker Gulfport, MS NPI 1033158936
- Lauren Suzanne Zakaras, LCSW, DBHClinical Social Worker Gulfport, MS NPI 1043550304
- Tanika La-Sha WilliamsClinical Social Worker Gulfport, MS NPI 1053258442
About NPI 1366515702
Jerry Paul Boudreaux, L C S W's National Provider Identifier is 1366515702, issued on Nov 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gulfport, MS. The record was last updated on Jul 8, 2007.