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

Individual provider Clinical Social Worker · NPI 1457739567

Michelle Bouthillier, LCSW, CGP is a Clinical Social Worker in Tallahassee, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2015
What do these letters mean?
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

10678 Lake Iamonia Dr
Tallahassee, FL 32312-5102
Phone: (850) 597-5050
Fax: (850) 668-4678
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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 SW11731 (FL)

Record details

NPI number1457739567
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CGP
Sole proprietorYes
NPI enumeratedMay 8, 2015
Last updated in NPPESMay 8, 2015

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