Individual provider · Type 1 NPI
Rathaphone Lesley Boutah, LCSW
Clinical Social Worker · San Diego, CA
Practice location
2307 Fenton Pkwy Ste 107-9
San Diego, CA 92108-4746
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 26774 (CA) |
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 1992881908
Rathaphone Lesley Boutah, LCSW's National Provider Identifier is 1992881908, issued on Oct 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Oct 10, 2023.