Active NPIIndividual providerSole proprietor

Mr. Jeremy B Boulier, LCSW-CC

Social Worker, Clinical in Caribou, Maine

NPI Number1619445921
Practice location
647 Main St Ste 14B, Caribou, ME 04736-4509
Fax
207-492-0034
Last updated
November 5, 2018

Jeremy B Boulier is a Social Worker, Clinical based in Caribou, ME. Jeremy B Boulier practices in Caribou, ME and has the professional credentials of LCSW-CC. The NPI Number for Jeremy B Boulier is 1619445921 and holds a License No. MC17679 (ME). The current practice location address for Jeremy B Boulier is 647 Main St Ste 14B, Caribou, ME 04736-4509 and can be reached out via phone at 207-492-3009 and via fax at 207-492-0034.

Provider Profile Details

NPI Number
1619445921
Provider Name
Jeremy B Boulier
Credential
LCSW-CC
Provider Entity Type
Individual
Gender
Male
Address
647 Main St Ste 14B, Caribou, ME 04736-4509
Phone Number
207-492-3009
Fax Number
207-492-0034
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 5, 2018
Last Update Date
November 5, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
647 Main St Ste 14B
Caribou, ME 04736-4509
State
Maine
Zip
04736-4509
Phone Number
207-492-3009
Fax Number
207-492-0034
Caribou, ME 04736Get directions →

Provider Business Mailing Address Details

Address
647 Main St Ste 14B
Caribou, ME 04736-4509
City
Caribou
State
ME
Zip
04736-4509

License Information

License Number
MC17679
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 Mr. Jeremy B Boulier, LCSW-CC?

The NPI number of Mr. Jeremy B Boulier, LCSW-CC is 1619445921. It was assigned on November 5, 2018 and is currently active in the NPPES registry.

What is the specialty of Mr. Jeremy B Boulier, LCSW-CC?

Mr. Jeremy B Boulier, LCSW-CC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number MC17679.

Where does Mr. Jeremy B Boulier, LCSW-CC practice?

The practice location is 647 Main St Ste 14B, Caribou, ME 04736-4509. The office can be reached at 207-492-3009 (phone) or 207-492-0034 (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 1619445921 directly on the NPPES registry website.

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