Active NPIIndividual provider

Emmadora Boutcher

Social Worker, Clinical in Dummerston, Vermont

NPI Number1396308409
Practice location
62 Riverside Dr, Dummerston, VT 05301-8928
Fax
—
Last updated
May 18, 2026

Emmadora Boutcher is a Social Worker, Clinical based in Dummerston, VT. Emmadora Boutcher practices in Dummerston, VT. The NPI Number for Emmadora Boutcher is 1396308409 and holds a License No. 089.0137076 (VT). The current practice location address for Emmadora Boutcher is 62 Riverside Dr, Dummerston, VT 05301-8928 and can be reached out via phone at 802-822-2520.

Provider Profile Details

NPI Number
1396308409
Provider Name
Emmadora Boutcher
Provider Entity Type
Individual
Gender
Female
Address
62 Riverside Dr, Dummerston, VT 05301-8928
Phone Number
802-822-2520
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 16, 2019
Last Update Date
May 18, 2026
Certification Date
May 18, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Riverside Dr
Dummerston, VT 05301-8928
State
Vermont
Zip
05301-8928
Phone Number
802-822-2520
Dummerston, VT 05301Get directions →

Provider Business Mailing Address Details

Address
62 Riverside Dr
Dummerston, VT 05301-8928
City
Dummerston
State
VT
Zip
05301-8928
Phone Number
802-822-2520

License Information

License Number (1)
089.0137076
License State (1)
VT
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
122182
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Emmadora Boutcher?

The NPI number of Emmadora Boutcher is 1396308409. It was assigned on April 16, 2019 and is currently active in the NPPES registry.

What is the specialty of Emmadora Boutcher?

Emmadora Boutcher is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089.0137076.

Where does Emmadora Boutcher practice?

The practice location is 62 Riverside Dr, Dummerston, VT 05301-8928. The office can be reached at 802-822-2520 (phone).

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 1396308409 directly on the NPPES registry website.

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