Individual provider · Type 1 NPI
Marianna Isabelle Boulter
Clinical Social Worker · Hastings, MI
Practice location
236 W South St
Hastings, MI 49058-2257
Mailing address
1040 S Winter St Ste 1022
Adrian, MI 49221-3867
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1407439854
Marianna Isabelle Boulter's National Provider Identifier is 1407439854, issued on May 4, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hastings, MI. The record was last updated on Sep 15, 2026.