Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mariah Kaitlyn Boudreaux, MSW, LCSW, APHSW-C

Individual provider Clinical Social Worker · NPI 1003664632

Mariah Kaitlyn Boudreaux, MSW, LCSW, APHSW-C is a Clinical Social Worker in Durham, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2024
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5206 Marcella Ct
Durham, NC 27707-9808
Phone: (919) 473-6888
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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 C015547 (NC)

Record details

NPI number1003664632
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW , APHSW-C
Sole proprietorYes
NPI enumeratedMay 8, 2024
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

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