Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE BOUTROS, MSW, LCSW
Active Sole ProprietorJACQUELINE BOUTROS, MSW, LCSW is a Clinical Social Worker healthcare provider located in AUSTIN, Texas. NPI 1407395767 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · AUSTIN, TX
Registration Details
- NPI Number
- 1407395767
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 20, 2017 (9.4397249217305 yrs)
- Last Updated
- Mar 7, 2018
- Licenses
-
000119920 (MA)57000 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4920 N INTERSTATE 35AUSTIN, TX, 787512716Browse TX providers · Browse ZIP 78751
- Phone
- 5124724357
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in AUSTIN, TX
| Name | Credential | NPI |
|---|---|---|
| MR. GEORGE P GLASER | M.S.W. | 1891797163 |
| MS. CAROL ANN DODGEN | L.C.S.W. | 1508865742 |
| MRS. JANET ELISE KAUTZ | LCSW | 1114927233 |
| ELAINE SQUIRES | LCSW | 1558362442 |
| LAURA L WHEELER | LCSW | 1366443269 |
| KATHLEEN M. CLARK | L.C.S.W. , B.C.D. | 1740276906 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.