Kathleen Marie Boudreau in New Haven - Clinical
Kathleen Marie Boudreau - NPI 1831312826
Kathleen Marie Boudreau is a Clinical in New Haven, Connecticut. Kathleen Marie Boudreau practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathleen Marie Boudreau is 1831312826. The last update date is 2007-07-09.
Kathleen Marie Boudreau's current location address is 698 Orange St, New Haven, Connecticut. You can contact this provider via phone number 2035621918 and fax number 2037720051. The mailing address for Kathleen Marie Boudreau is 698 Orange St, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Marie Boudreau |
|---|---|
| Address | 698 Orange St, New Haven, Connecticut |
| Phone Number | 2035621918 |
| Fax Number | 2037720051 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1831312826 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 698 Orange St |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65112514 |
| Phone Number | 2035621918 |
| Fax Number | 2037720051 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2384 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4155059 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kathleen Marie Boudreau by the Centers for Medicare & Medicaid Services?
The Kathleen Marie Boudreau has been issued the NPI (National Provider Identifier) 1831312826 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kathleen Marie Boudreau is physically located?
The Kathleen Marie Boudreau is physically situated at the following address: 698 Orange St, New Haven, CT, 65112514.
What is the area of specialization for Kathleen Marie Boudreau, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kathleen Marie Boudreau is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1831312826 to Kathleen Marie Boudreau?
The Centers for Medicare & Medicaid Services originally issued the 1831312826 to Kathleen Marie Boudreau on 2007-04-10.
As of what date were the details related to Kathleen Marie Boudreau most recently updated or revised?
The information pertaining to Kathleen Marie Boudreau, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.