Individual provider · Type 1 NPI
Kim L. Boubon, LCSW
Clinical Social Worker · Charlotte, NC
Practice location
13850 Ballantyne Corporate Place, Suite #500
Charlotte, NC 28277
Mailing address
9319 Bellegarde Drive
Charlotte, NC 28277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | C004740 (NC) |
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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- Sara Charles Goguen, MSW, LCSWClinical Social Worker Charlotte, NC NPI 1003173659
- Andre Maurice Harvey, LCSWClinical Social Worker Charlotte, NC NPI 1003257023
- Melissa Price, LCSWClinical Social Worker Charlotte, NC NPI 1003292327
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About NPI 1609097203
Kim L. Boubon, LCSW's National Provider Identifier is 1609097203, issued on May 1, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Jul 9, 2007.