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WANDA RAMONA BOUTTE
NPI 1376980227
Social Worker - Clinical in Antioch, CA

Active since June 02, 2013
5241 MEDEA WAY, ANTIOCH, CA 94531(510) 469-1136 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2024, Apr 15, 2024 (2 updates tracked since 2024).

About Wanda Ramona Boutte NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDA RAMONA BOUTTE (NPI 1376980227) is an individual clinical provider in Antioch, California and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1376980227
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameWANDA RAMONA BOUTTE
Location Address5241 MEDEA WAYAntioch, CA 94531-8727
Mailing Address5241 Medea WayAntioch, CA 94531-8727 · (510) 469-1136
Phone(510) 469-1136
Sole ProprietorYes
Enumeration DateJune 2, 2013
Last NPPES UpdateNovember 22, 20242 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1376980227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedDevelopmental TherapistTaxonomy 222Q00000X · License 293646 (CA)
5241 MEDEA WAY, Antioch, CA 94531
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Other Names 1

Professional Name (2)Wanda Ramona Boutte Lcsw

Other Identifiers 2

Other1376980227CA · Alameda County Behavioral Health Care Services
OtherCA206171CA · Noridian Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Boutte's NPI number?

The NPI number for Wanda Boutte is 1376980227. It was assigned to this individual provider in the NPPES registry on June 2, 2013. The provider is also known as Wanda Ramona Boutte Lcsw.

Where is Wanda Boutte located?

Wanda Boutte practices at 5241 Medea Way, Antioch, CA 94531. The listed phone number is (510) 469-1136.

What is Wanda Boutte's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Wanda Boutte accept?

Health plans from Blue Cross and Blue Shield of Texas list Wanda Boutte as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wanda Boutte was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.