Individual provider · Type 1 NPI

Amanda Boman

Clinical Social Worker · Edgerton, WI

NPI number 1720457948 Active

Practice location

11101 N Sherman Rd
Edgerton, WI 53534-9002

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1720457948

Amanda Boman's National Provider Identifier is 1720457948, issued on Sep 17, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Edgerton, WI. The record was last updated on Mar 7, 2022.