Active NPIIndividual providerSole proprietor

Jessica Boucher, BA

Social Worker in New London, Connecticut

NPI Number1619475001
Practice location
75 Granite St, New London, CT 06320-5730
Fax
860-437-4551
Last updated
January 31, 2018

Jessica Boucher is a Social Worker based in New London, CT. Jessica Boucher practices in New London, CT and has the professional credentials of BA. The NPI Number for Jessica Boucher is 1619475001. The current practice location address for Jessica Boucher is 75 Granite St, New London, CT 06320-5730 and can be reached out via phone at 860-437-4550 and via fax at 860-437-4551.

Provider Profile Details

NPI Number
1619475001
Provider Name
Jessica Boucher
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
75 Granite St, New London, CT 06320-5730
Phone Number
860-437-4550
Fax Number
860-437-4551
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 31, 2018
Last Update Date
January 31, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Granite St
New London, CT 06320-5730
Zip
06320-5730
Phone Number
860-437-4550
Fax Number
860-437-4551
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
255 Hempstead St
New London, CT 06320-6204
City
New London
State
CT
Zip
06320-6204
Phone Number
860-443-2896

License Information

Taxonomy
Social Worker · 104100000X · 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 Jessica Boucher, BA?

The NPI number of Jessica Boucher, BA is 1619475001. It was assigned on January 31, 2018 and is currently active in the NPPES registry.

What is the specialty of Jessica Boucher, BA?

Jessica Boucher, BA is registered under the primary taxonomy Social Worker (code 104100000X).

Where does Jessica Boucher, BA practice?

The practice location is 75 Granite St, New London, CT 06320-5730. The office can be reached at 860-437-4550 (phone) or 860-437-4551 (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 1619475001 directly on the NPPES registry website.

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