Active NPIIndividual providerSole proprietor

Terri Boettcher, LICSW

Social Worker, Clinical in Worcester, Massachusetts

NPI Number1063815348
Practice location
72 Jacques Street, Worcester, MA 01610
Fax
508-860-1210
Last updated
September 18, 2018

Terri Boettcher is a Social Worker, Clinical based in Worcester, MA. Terri Boettcher practices in Worcester, MA and has the professional credentials of LICSW. The NPI Number for Terri Boettcher is 1063815348 and holds a License No. 34409 (TX). The current practice location address for Terri Boettcher is 72 Jacques Street, Worcester, MA 01610 and can be reached out via phone at 508-373-7893 and via fax at 508-860-1210.

Provider Profile Details

NPI Number
1063815348
Provider Name
Terri Boettcher
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
72 Jacques Street, Worcester, MA 01610
Phone Number
508-373-7893
Fax Number
508-860-1210
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 1, 2014
Last Update Date
September 18, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
72 Jacques Street
Worcester, MA 01610
Zip
01610
Phone Number
508-373-7893
Fax Number
508-860-1210
Worcester, MA 01610Get directions →

Provider Business Mailing Address Details

Address
72 Jacques Street
Worcester, MA 01610
City
Worcester
State
MA
Zip
01610
Phone Number
508-373-7893
Fax Number
508-860-1210

License Information

License Number (1)
34409
License State (1)
TX
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
Taxonomy (2)
Case Manager/Care Coordinator · 171M00000X
License Number (3)
120844
License State (3)
MA
Taxonomy (3)
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 Terri Boettcher, LICSW?

The NPI number of Terri Boettcher, LICSW is 1063815348. It was assigned on October 1, 2014 and is currently active in the NPPES registry.

What is the specialty of Terri Boettcher, LICSW?

Terri Boettcher, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in TX under license number 34409.

Where does Terri Boettcher, LICSW practice?

The practice location is 72 Jacques Street, Worcester, MA 01610. The office can be reached at 508-373-7893 (phone) or 508-860-1210 (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 1063815348 directly on the NPPES registry website.

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