JESSICA BOUCHER


Address: 75 Granite St, New London, CT 06320-5730
Phone: 8604374550

JESSICA BOUCHER (NPI# 1619475001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619475001
Entity Type Individual
Full Name JESSICA BOUCHER
Credential BA
Practice Address 75 Granite St
New London
CT 06320-5730
Mailing Address 255 Hempstead St
New London
CT 06320-6204
Practice Telephone 8604374550
Practice Fax Number 8604374551
Mailing Telephone 8604432896
Enumeration Date 2018-01-31
Last Update Date 2018-01-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Other Providers JESSICA BOUCHER

NPI Name Taxonomy Address Enumeration
1295022879 Jessica Ann Boucher Occupational Therapist 885 N Sandusky Ave, Upper Sandusky, OH 43351-1031 2011-07-05
1114197266 Jessica Boucher IIi Counselor 1061 Pleasant St, New Bedford, MA 02740 2008-03-05
1194907428 Jessica E Boucher Technician 1600 Gratiot Blvd, Marysville, MI 48040-1145 2007-11-28
1205042496 Jessica Boucher Residential Treatment Facility, Emotionally Disturbed Children 714 W Main St, Grass Valley, CA 95945-6410 2007-05-15

Office Location

Street Address 75 GRANITE ST
City NEW LONDON
State CT
Zip Code 06320-5730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093762114 Child and Family Agency of Southeastern Connecticut, Inc. Clinic/Center 75 Granite St, New London, CT 06320-5730 2006-05-27
1104433580 Rachel K Daley Social Worker 75 Granite St, New London, CT 06320-5730 2020-09-29
1295341444 Allison Monica Beeley Marriage & Family Therapist 75 Granite St, New London, CT 06320-5730 2020-09-22
1659984193 Alexis Spinnato Social Worker 75 Granite St, New London, CT 06320-5730 2020-08-25
1841834173 Silvia Cooke-salinas Social Worker 75 Granite St, New London, CT 06320-5730 2019-10-30
1932742426 Alexandra Jaye Garvey Social Worker 75 Granite St, New London, CT 06320-5730 2019-10-28
1629629704 Mariel Ozoria Counselor 75 Granite St, New London, CT 06320-5730 2019-09-20
1295387843 Sara Diane Lambert Nurse Practitioner 75 Granite St, New London, CT 06320-5730 2019-07-14
1811557085 James Robertson Marriage & Family Therapist 75 Granite St, New London, CT 06320-5730 2019-06-19
1598322356 Victoria Daniw Counselor 75 Granite St, New London, CT 06320-5730 2019-05-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942824891 Shilpi Jain Physical Therapist 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 2020-06-05
1174009641 Catherine Hinojosa Nurse Practitioner 1 Shaws Cove, New London, CT 06320 2018-07-17
1043668320 Cultivate & Grow Inc. Counselor 302 State St Suite 307, New London, CT 06320 2016-05-27
1295137263 Jacqueline Durnell Registered Nurse 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 2014-09-22
1922427541 Corina Vendetto Registered Nurse 245 Shaw St., New London, CT 06320 2014-04-10
1912329962 Janelle Posey-green Social Worker 302 State St., Suite 201, New London, CT 06320 2014-01-10
1750622692 Cynthia Mitchell Social Worker 65b Michael Rd, New London, CT 06320 2013-03-01
1518254507 Simon J Shapiro Physical Medicine & Rehabilitation 190 Howard Avenue, New London, CT 06320 2011-06-29
1184876708 Jane P Genido-trujillo Nurse Practitioner 270 Mohegan Ave., Student Health Services, New London, CT 06320 2008-10-14
1932356284 Gerard Joseph Ventura Dentist 21 Montauk Ave., Suite 102, New London, CT 06320 2008-08-19
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376963207 Joshua Lundberg Social Worker 28 Huntington St, New London, CT 06320-6111 2014-04-17
1073617171 Albert Christer Singletary Social Worker 43 Granite Street, New London, CT 06320 2006-09-11
1104433580 Rachel K Daley Social Worker 75 Granite St, New London, CT 06320-5730 2020-09-29
1659984193 Alexis Spinnato Social Worker 75 Granite St, New London, CT 06320-5730 2020-08-25
1861014979 Isabella Nematalla Social Worker 7 Vauxhall St, New London, CT 06320-5711 2020-05-12
1255976965 Taylor Pyka Social Worker 7 Vauxhall St, New London, CT 06320-5711 2019-11-18
1669017471 Tunnesia Owens Social Worker 300 State St Ste 201, New London, CT 06320-6112 2019-11-15
1841834173 Silvia Cooke-salinas Social Worker 75 Granite St, New London, CT 06320-5730 2019-10-30
1932742426 Alexandra Jaye Garvey Social Worker 75 Granite St, New London, CT 06320-5730 2019-10-28
1285282277 Jessica Heuschele Social Worker 7 Vauxhall St, New London, CT 06320-5711 2019-09-03
Find all providers in NEW LONDON

Competitor

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City NEW LONDON
Zip Code 06320

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Dataset Information

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.

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