NPI 1356817829 · live from the CMS NPI Registry
Rachel Boudreau, LCSW
Social Worker, Clinical in Eagle River, AK. National Provider Identifier 1356817829, active.
NPI record
| NPI | 1356817829 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 17045 Coronado Rd, Eagle River, AK 99577 |
| Practice phone | 907-696-5656 |
| Enumerated | October 22, 2018 |
| Last updated | January 2, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 206143 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.