Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaidian Boubacar, MSW

Individual provider Clinical Social Worker · NPI 1821893249

Kaidian Boubacar, MSW is a Clinical Social Worker in Fort Lauderdale, Florida. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2025
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

1314 E Las Olas Blvd # 1590
Fort Lauderdale, FL 33301-2334
Phone: (954) 560-4279
Fax: (954) 522-5174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW19264 (FL)

Record details

NPI number1821893249
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorYes
NPI enumeratedFebruary 18, 2025
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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