Jenna Boulette, LCSW
Social Worker, Clinical in Mansfield Center, Connecticut
1053086652- Practice location
- 140 N Frontage RD, Mansfield Center, CT 06250-1648
- Phone
- 860-456-2261
- Fax
- 860-430-1357
- Last updated
- March 5, 2026
Jenna Boulette is a Social Worker, Clinical based in Mansfield Center, CT. Jenna Boulette practices in Mansfield Center, CT and has the professional credentials of LCSW. The NPI Number for Jenna Boulette is 1053086652 and holds a License No. 13084 (CT). The current practice location address for Jenna Boulette is 140 N Frontage RD, Mansfield Center, CT 06250-1648 and can be reached out via phone at 860-456-2261 and via fax at 860-430-1357.
Provider Profile Details
- NPI Number
- 1053086652
- Provider Name
- Jenna Boulette
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 140 N Frontage RD, Mansfield Center, CT 06250-1648
- Phone Number
- 860-456-2261
- Fax Number
- 860-430-1357
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 16, 2021
- Last Update Date
- March 5, 2026
- Certification Date
- March 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 140 N Frontage RD
Mansfield Center, CT 06250-1648 - City
- Mansfield Center
- State
- Connecticut
- Zip
- 06250-1648
- Phone Number
- 860-456-2261
- Fax Number
- 860-430-1357
Provider Business Mailing Address Details
- Address
- 1007 N Main St
Dayville, CT 06241-2170 - City
- Dayville
- State
- CT
- Zip
- 06241-2170
- Phone Number
- 860-774-2020
- Fax Number
- 860-774-0826
License Information
- License Number
- 13084
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Mansfield Center, CT
View all Social Worker, Clinical providers in Mansfield Center →- Angie Botero Castro, LCSWSocial Worker, Clinical · NPI 1841875366
- Anna Ebora, LCSWSocial Worker, Clinical · NPI 1124575006
- Autumn Dwy, LMSWSocial Worker, Clinical · NPI 1376268441
- Danielle N. Christian, LCSW, LLCSocial Worker, Clinical · NPI 1205261211
- David Duffield, LCSWSocial Worker, Clinical · NPI 1245809730
- Fabiana A Da Silva, LCSWSocial Worker, Clinical · NPI 1649880444
Frequently Asked Questions
What is the NPI number of Jenna Boulette, LCSW?
The NPI number of Jenna Boulette, LCSW is 1053086652. It was assigned on August 16, 2021 and is currently active in the NPPES registry.
What is the specialty of Jenna Boulette, LCSW?
Jenna Boulette, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 13084.
Where does Jenna Boulette, LCSW practice?
The practice location is 140 N Frontage RD, Mansfield Center, CT 06250-1648. The office can be reached at 860-456-2261 (phone) or 860-430-1357 (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 1053086652 directly on the NPPES registry website.