Carmen Boudreau, LBSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

527 N Leona St
San Antonio, TX 78207-3110

Phone

(210) 358-3620

Fax

(210) 358-5955

NPI assigned

Dec 11, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carmen Casas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1164667655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782910087",
            "telephone_number": "210-358-9174",
            "fax_number": "210-358-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N LEONA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073110",
            "telephone_number": "210-358-3620",
            "fax_number": "210-358-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAU",
        "first_name": "CARMEN",
        "credential": "LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "CASAS",
            "credential": "LBSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caleb Michael Bouchard
• Danielle N Bouchard, MA, LPC
• Barbara Henkel Boucher, PT, PHD, OTR
• Klayme-Shane Boucher, DO
• Carlos Mario Bouchot, MD
• Christian Martin Boudreaux, PA-C
• Rebecca Diane Boudreaux, PHARMD
• Jessica F Boulanger, MED, LPC, NCC, CCTP
• Hayley Bouldin, RBT
• Joelle M Bouldoukian-Choucair, O.D.

• Case Manager/Care Coordinator in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.