Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RATHAPHONE LESLEY BOUTAH, LCSW
Deactivated Sole ProprietorRATHAPHONE LESLEY BOUTAH, LCSW is a Clinical Social Worker healthcare provider located in SAN DIEGO, California. NPI 1992881908 is deactivated in the NPPES registry. Verify at CMS.
Clinical Social Worker · SAN DIEGO, CA
This NPI has been deactivated.
The record was deactivated on February 6, 2014.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1992881908
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2006 (7.2684931506849 yrs)
- Last Updated
- Oct 10, 2023
- Deactivated
- Feb 6, 2014
- License
-
26774 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2307 FENTON PKWY STE 107-9SAN DIEGO, CA, 921084746Browse CA providers · Browse ZIP 92108
- Phone
- 8587075205
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL HAMMER | MSW | 1861491292 |
| DEBRA BLAY HOLMES | LCSW | 1932192531 |
| MS. RHONDA MASON | LCSW | 1366436503 |
| LISA GRAFF-MARSH | LCSW | 1588659080 |
| JERYL KALINOWSKI | LCSW | 1811982697 |
| KAREN LOUISE RITTER | LCSW | 1790775781 |
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.