Individual provider · Type 1 NPI

Tyler Boudreau, LICSW

Clinical Social Worker · Northampton, MA

NPI number 1336017698 Active

Practice location

13 Finn St
Northampton, MA 01060-2207

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1141086 (MA)

Clinical Social Worker: 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 interpers…

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About NPI 1336017698

Tyler Boudreau, LICSW's National Provider Identifier is 1336017698, issued on Oct 28, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Northampton, MA. The record was last updated on Oct 28, 2025.