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

Wanda Ramona Boutte

Individual provider Clinical Social Worker · NPI 1376980227

Wanda Ramona Boutte is a Clinical Social Worker in Antioch, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
Specialties on file
2

Practice location Address checks out

5241 Medea Way
Antioch, CA 94531-8727
Phone: (510) 469-1136
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Developmental Therapist Taxonomy 222Q00000X · Licence 293646 (CA)

Record details

NPI number1376980227
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 2, 2013
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024
Mailing address5241 Medea Way, Antioch, CA 94531-8727

Other providers in Antioch