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RATHAPHONE LESLEY BOUTAH LCSW
NPI 1992881908
Social Worker - Clinical in San Diego, CA

Active since October 31, 2006
3350 LA JOLLA VILLAGE DR # 116A, SAN DIEGO, CA 92161(858) 642-3195 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2023, Jun 17, 2021 (2 updates tracked since 2021).

About Rathaphone Lesley Boutah Lcsw NPPES

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

RATHAPHONE LESLEY BOUTAH LCSW (NPI 1992881908) is an individual clinical provider in San Diego, California, licensed in California (26774) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1992881908
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameRATHAPHONE LESLEY BOUTAHCredential: LCSW
Location Address3350 LA JOLLA VILLAGE DR # 116ASan Diego, CA 92161-0002
Mailing Address3350 La Jolla Village Dr # 116aSan Diego, CA 92161-0002 · (858) 642-3195
Phone(858) 642-3195
Sole ProprietorNo
Enumeration DateOctober 31, 2006
Last NPPES UpdateJune 17, 20212 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
✔ NPI 1992881908 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 CA · 26774
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.
3350 LA JOLLA VILLAGE DR # 116A, San Diego, CA 92161
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURIE LINDAMER
Psychologist (Clinical)
3350 LA JOLLA VILLAGE DR # 116A
SAN DIEGO, CA 92161
San Diego County (858) 642-3870

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 Rathaphone Boutah's NPI number?

The NPI number for Rathaphone Boutah is 1992881908. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Rathaphone Boutah located?

Rathaphone Boutah practices at 3350 La Jolla Village Dr # 116A, San Diego, CA 92161. The listed phone number is (858) 642-3195.

What is Rathaphone Boutah's specialty?

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

When was this NPI record last updated?

The NPPES record for Rathaphone Boutah was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.