Individual provider · Type 1 NPI
Jessi Boucher, LCSW
School Social Worker · Fort Edward, NY
NPI number
1851855134
Active
Practice location
12 Washington St
Fort Edward, NY 12828-1734
Mailing address
27 Burgoyne St
Schuylerville, NY 12871-1416
Other practice locations
- 113 Holland Ave, Albany, NY 12208-3410 · (518) 626-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 099442-1 (NY) |
| School Social Worker Primary | 1041S0200X | 091920-01 (NY) |
School Social Worker: Definition to come...
3 other providers at this address
About NPI 1851855134
Jessi Boucher, LCSW's National Provider Identifier is 1851855134, issued on Jan 30, 2019. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Fort Edward, NY. The record was last updated on Sep 15, 2021.