Active NPIIndividual provider

Kaitlyn Boudreau, LCSW

Social Worker, Clinical in Waterville, Maine

NPI Number1033684568
Practice location
67 Eustis Pkwy, Waterville, ME 04901-5173
Fax
207-660-4529
Last updated
November 2, 2021

Kaitlyn Boudreau is a Social Worker, Clinical based in Waterville, ME. Kaitlyn Boudreau practices in Waterville, ME and has the professional credentials of LCSW. The NPI Number for Kaitlyn Boudreau is 1033684568 and holds a License No. LC19561 (ME). The current practice location address for Kaitlyn Boudreau is 67 Eustis Pkwy, Waterville, ME 04901-5173 and can be reached out via phone at 207-873-2136 and via fax at 207-660-4529.

Provider Profile Details

NPI Number
1033684568
Provider Name
Kaitlyn Boudreau
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
67 Eustis Pkwy, Waterville, ME 04901-5173
Phone Number
207-873-2136
Fax Number
207-660-4529
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Kaitlyn Roy (Former Name)
Provider Enumeration Date
October 11, 2018
Last Update Date
November 2, 2021
Certification Date
November 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
67 Eustis Pkwy
Waterville, ME 04901-5173
State
Maine
Zip
04901-5173
Phone Number
207-873-2136
Fax Number
207-660-4529
Waterville, ME 04901Get directions →

Provider Business Mailing Address Details

Address
67 Eustis Pkwy
Waterville, ME 04901-5173
City
Waterville
State
ME
Zip
04901-5173
Phone Number
207-873-2136

License Information

License Number
LC19561
License State
ME
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kaitlyn Boudreau, LCSW?

The NPI number of Kaitlyn Boudreau, LCSW is 1033684568. It was assigned on October 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Kaitlyn Boudreau, LCSW?

Kaitlyn Boudreau, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC19561.

Where does Kaitlyn Boudreau, LCSW practice?

The practice location is 67 Eustis Pkwy, Waterville, ME 04901-5173. The office can be reached at 207-873-2136 (phone) or 207-660-4529 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033684568 directly on the NPPES registry website.

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