Active NPIIndividual provider

Ms. Leslie J Boulette, MSW, LICSW

Social Worker in Southbridge, Massachusetts

NPI Number1891009411
Practice location
328 Main St, Southbridge, MA 01550-3727
Fax
508-764-4389
Last updated
July 19, 2014

Leslie Jean Boulette is a Social Worker based in Southbridge, MA. Leslie Jean Boulette practices in Southbridge, MA and has the professional credentials of MSW, LICSW. The NPI Number for Leslie Jean Boulette is 1891009411. The current practice location address for Leslie Jean Boulette is 328 Main St, Southbridge, MA 01550-3727 and can be reached out via phone at 508-765-9101 and via fax at 508-764-4389.

Provider Profile Details

NPI Number
1891009411
Provider Name
Leslie Jean Boulette
Credential
MSW, LICSW
Provider Entity Type
Individual
Gender
Female
Address
328 Main St, Southbridge, MA 01550-3727
Phone Number
508-765-9101
Fax Number
508-764-4389
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
August 6, 2010
Last Update Date
July 19, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
328 Main St
Southbridge, MA 01550-3727
Zip
01550-3727
Phone Number
508-765-9101
Fax Number
508-764-4389
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
328 Main St
Southbridge, MA 01550-3727
City
Southbridge
State
MA
Zip
01550-3727
Phone Number
508-765-9101
Fax Number
508-764-4389

License Information

Taxonomy (1)
Social Worker · 104100000X · Primary
Taxonomy (2)
Counselor, Mental Health · 101YM0800X

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 Ms. Leslie J Boulette, MSW, LICSW?

The NPI number of Ms. Leslie J Boulette, MSW, LICSW is 1891009411. It was assigned on August 6, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Leslie J Boulette, MSW, LICSW?

Ms. Leslie J Boulette, MSW, LICSW is registered under the primary taxonomy Social Worker (code 104100000X).

Where does Ms. Leslie J Boulette, MSW, LICSW practice?

The practice location is 328 Main St, Southbridge, MA 01550-3727. The office can be reached at 508-765-9101 (phone) or 508-764-4389 (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 1891009411 directly on the NPPES registry website.

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