Individual provider · Type 1 NPI

Jeremy Paul Boudreaux, LCSW

Clinical Social Worker · Madison, WI

NPI number 1790247757 Active

Practice location

615 N Sherman Ave Ste 24
Madison, WI 53704-4457

Fax (262) 293-9777

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X22128 (WI)
Clinical Social Worker 1041C0700X149020671 (IL)
Clinical Social Worker Primary 1041C0700X10072-123 (WI)

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 1790247757

Jeremy Paul Boudreaux, LCSW's National Provider Identifier is 1790247757, issued on Apr 1, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Apr 23, 2024.