Individual provider · Type 1 NPI
Wanda Ramona Boutte
Clinical Social Worker · Antioch, CA
Practice location
5241 Medea Way
Antioch, CA 94531-8727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
| Developmental Therapist | 222Q00000X | 293646 (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 1376980227
Wanda Ramona Boutte's National Provider Identifier is 1376980227, issued on Jun 2, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Antioch, CA. The record was last updated on Nov 22, 2024.