Individual provider · Type 1 NPI

Deric J. Boston, LCSW

Clinical Social Worker · Cary, NC

NPI number 1861630816 Active

Practice location

110 Iowa Lane, Suite 202
Cary, NC 27511

Fax (919) 465-2307

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC006078 (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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About NPI 1861630816

Deric J. Boston, LCSW's National Provider Identifier is 1861630816, issued on Jan 29, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cary, NC. The record was last updated on Jan 29, 2009.