Individual provider · Type 1 NPI

Kristin Boutell

Clinical Social Worker · Grosse Pointe Woods, MI

NPI number 1376782318 Active

Practice location

2101 Country Club Dr
Grosse Pointe Woods, MI 48236-1605

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801061833 (MI)

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 1376782318

Kristin Boutell's National Provider Identifier is 1376782318, issued on Feb 16, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grosse Pointe Woods, MI. The record was last updated on Feb 16, 2009.