Johnda Ann Bouthillier in Norwich - Clinical
Johnda Ann Bouthillier - NPI 1376582742
Johnda Ann Bouthillier is a Clinical in Norwich, Connecticut. Johnda Ann Bouthillier practices all healthcare services and medical treatments related to Clinical. The NPI Number for Johnda Ann Bouthillier is 1376582742. The last update date is 2007-07-08.
Johnda Ann Bouthillier's current location address is 47 Town St, Norwich, Connecticut. You can contact this provider via phone number 8608927042 and fax number 8608927043. The mailing address for Johnda Ann Bouthillier is 47 Town St, Norwich, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnda Ann Bouthillier |
|---|---|
| Address | 47 Town St, Norwich, Connecticut |
| Phone Number | 8608927042 |
| Fax Number | 8608927043 |
| Sole Proprietor | N |
| Credentials | LCSW, LADC |
NPI Number Detail
| NPI Number | 1376582742 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 47 Town St |
|---|---|
| City | Norwich |
| State | Connecticut (CT) |
| Post Code | 63602315 |
| Phone Number | 8608927042 |
| Fax Number | 8608927043 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3961 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Johnda Ann Bouthillier by the Centers for Medicare & Medicaid Services?
The Johnda Ann Bouthillier has been issued the NPI (National Provider Identifier) 1376582742 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Johnda Ann Bouthillier is geographically located?
The Johnda Ann Bouthillier is physically situated at the following location: 47 Town St, Norwich, CT, 63602315.
What is the area of specialization for Johnda Ann Bouthillier, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Johnda Ann Bouthillier 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 1376582742 to Johnda Ann Bouthillier?
The Centers for Medicare & Medicaid Services originally issued the 1376582742 to Johnda Ann Bouthillier on 2006-06-04.
As of what date were the details pertaining to Johnda Ann Bouthillier last refreshed?
The information related to the Johnda Ann Bouthillier, including its address, specialty, and other relevant details, was last updated on 2007-07-08.