Individual provider · Type 1 NPI

Elana Patrice Bouldin, LCSW-C

Clinical Social Worker · Columbia, MD

NPI number 1699396135 Active

Practice location

5570 Sterrett Pl Ste 205
Columbia, MD 21044-2649

Call (443) 744-2078 Map

Mailing address

7609 Reserve Cir Apt 201
Windsor Mill, MD 21244-1644

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X19009 (MD)

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 1699396135

Elana Patrice Bouldin, LCSW-C's National Provider Identifier is 1699396135, issued on May 6, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbia, MD. The record was last updated on May 6, 2020.