Individual provider · Type 1 NPI

Deanna Boucher

Clinical Social Worker · Putnam, CT

NPI number 1982480950 Active

Practice location

554 Liberty Hwy Ste 3
Putnam, CT 06260-2728

Mailing address

PO Box 382
Putnam, CT 06260-0382

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X009778 (CT)

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 1982480950

Deanna Boucher's National Provider Identifier is 1982480950, issued on Sep 6, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Putnam, CT. The record was last updated on Sep 6, 2023.