Individual provider · Type 1 NPI

Tamantha Boychuk, LCSW

Clinical Social Worker · San Diego, CA

NPI number 1457630154 Active

Practice location

2534 State St
San Diego, CA 92101-1316

Mailing address

1253 Louden Ln
Imperial Beach, CA 91932-3240

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X26154 (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 1457630154

Tamantha Boychuk, LCSW's National Provider Identifier is 1457630154, issued on Aug 11, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Aug 11, 2011.