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

Individual provider Clinical Social Worker · NPI 1992881908

Rathaphone Lesley Boutah, LCSW is a Clinical Social Worker in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
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

2307 Fenton Pkwy Ste 107-9
San Diego, CA 92108-4746
Phone: (858) 707-5205
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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 26774 (CA)

Record details

NPI number1992881908
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 31, 2006
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023

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