TERRI BOETTCHER (NPI# 1063815348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063815348 |
| Entity Type | Individual |
| Full Name | TERRI BOETTCHER |
| Credential | LICSW |
| Practice Address |
72 Jacques Street Worcester MA 01610 |
| Practice Telephone | 5083737893 |
| Practice Fax Number | 5088601210 |
| Mailing Telephone | 5083737893 |
| Mailing Fax Number | 5088601210 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
34409 | TX | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
120844 | MA | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
72 JACQUES STREET |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
| 1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
| 1508042144 | Kathleen Tamilo-awed | Acupuncturist | Acupuncture Associates of Worcester, 465 Park Avenue, Worcester, MA 01610 | 2008-01-14 |
| Find all providers in zip 01610 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116275 | Brittany Ford Ford | Social Worker | 51 Union St Ste 116, Worcester, MA 01608-1134 | 2020-08-26 |
| 1508494717 | Jessie M Quintero Johnson | Social Worker | Likemind Mental Health & Wellness, Inc, 51 Union Street, Suite 222, Worcester, MA 01608-1134 | 2020-04-01 |
| 1477188068 | Lindsey Poulin | Social Worker | 116 Belmont Street, Suite 31, Worcester, MA 01605-0160 | 2020-03-04 |
| 1750936456 | Margaret Arcouette | Social Worker | 270 Sunderland Rd Apt 56, Worcester, MA 01604-2552 | 2019-08-08 |
| 1841757721 | Damaris Gray | Social Worker | 430 Chandler St, Worcester, MA 01602-2916 | 2019-02-27 |
| 1518437649 | Joanne Lynne Calista | Social Worker | 35 Harvard St Ste 300, Worcester, MA 01609-2828 | 2018-12-02 |
| 1871062828 | Richard Edward Miller | Social Worker | 18 Ascadilla Rd, Worcester, MA 01606-1507 | 2018-11-20 |
| 1457835910 | Richard R. Alix Jr. | Social Worker | 26 Radmore St, Worcester, MA 01602-1741 | 2018-09-20 |
| 1023592854 | Thomas Daniel Hopkins | Social Worker | 382 Plantation St, Worcester, MA 01605-2324 | 2018-09-18 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| Find all providers in WORCESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.