Individual provider · Type 1 NPI

Jerry Wayne Boston, L.C.S.W.

Clinical Social Worker · Jeffersonville, IN

NPI number 1952435463 Active

Practice location

2420 E 10th St
Jeffersonville, IN 47130-7303

Call (812) 282-8248 Map

Fax (812) 282-3291

Mailing address

1106 Sandstone Dr
Jeffersonville, IN 47130-8448

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34005200A (IN)

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 1952435463

Jerry Wayne Boston, L.C.S.W.'s National Provider Identifier is 1952435463, issued on Mar 15, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jeffersonville, IN. The record was last updated on Jul 8, 2007.