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

Mrs. Chastidy Boutin

Individual provider Clinical Social Worker · NPI 1447916333

Mrs. Chastidy Boutin is a Clinical Social Worker in Valdosta, Georgia. Qualified in 2021, 5 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1817 Green Cir
Valdosta, GA 31602-2885
Phone: (229) 244-9688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence CSW009362 (GA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1447916333
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 15, 2021
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Valdosta