Individual provider Active NPI

Troi Allison Boulanger, LCSW

  • Social Worker
  • Santa Fe, NM
National Provider Identifier
1114901212
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SWB-2025-1303 Issued in NM
Practice address
301 S. St. Francis Drive
Unit C
Santa Fe, NM 87501
Phone
(207) 761-1160
Fax
(207) 761-1160
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LC6759 ME
Social Worker 104100000X SWB-2025-1303 NM Primary

Addresses

Primary practice location

301 S. St. Francis Drive
Unit C
Santa Fe, NM 87501

Mailing address

301 S. St. Francis Drive
Unit C
Santa Fe, NM 87501
Phone (207) 761-1160

Other practice location 1

9 Cottage Pl
Westbrook, ME 04092-3507
Phone (207) 761-1160

Other identifiers 4

IdentifierTypeStateIssuer
SWB-2025-1303OtherNMLICENSE
047604OtherANTHEM
LC6759OtherMELICENSE
047604OtherANTHEM BC BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC6759MEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetser Past Accepting new patients
Possibilities Counseling Services, Inc. Past Accepting new patients
Transitions Counseling, Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1114901212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S. ST. FRANCIS DRIVE",
            "address_2": "UNIT C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87501",
            "telephone_number": "207-761-1160",
            "fax_number": "207-761-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S. ST. FRANCIS DRIVE",
            "address_2": "UNIT C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87501",
            "telephone_number": "207-761-1160",
            "fax_number": "207-761-1160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Cottage Pl",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "ME",
            "postal_code": "040923507",
            "country_code": "US",
            "telephone_number": "207-761-1160",
            "fax_number": "207-761-1160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOULANGER",
        "first_name": "TROI",
        "middle_name": "ALLISON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LC6759",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "SWB-2025-1303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SWB-2025-1303",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "047604",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LC6759",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "047604",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.