MICHELLE BOUTHILLIER LCSW, CGP
NPI 1457739567
Social Worker - Clinical in Tallahassee, FL

Active since May 08, 2015
10678 LAKE IAMONIA DR, TALLAHASSEE, FL 32312(850) 597-5050(850) 668-4678 Get Directions Write a Review

NPPES record last updated: May 8, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michelle Bouthillier Lcsw, Cgp NPPES

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

MICHELLE BOUTHILLIER LCSW, CGP (NPI 1457739567) is an individual clinical provider in Tallahassee, Florida, licensed in Florida (SW11731) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1457739567
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE BOUTHILLIERCredential: LCSW, CGP
Location Address10678 LAKE IAMONIA DRTallahassee, FL 32312-5102
Mailing Address10678 Lake Iamonia DrTallahassee, FL 32312-5102 · (850) 597-5050 · Fax (850) 668-4678
Fax(850) 668-4678
Sole ProprietorYes
Enumeration DateMay 8, 2015
NPI 1457739567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in FL · SW11731
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.

10678 LAKE IAMONIA DR, Tallahassee, FL 32312

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457739567, enumerated as an "individual" on May 08, 2015.

The provider is located at 10678 LAKE IAMONIA DR TALLAHASSEE, FL 32312 and the phone number is (850) 597-5050.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.