Nathalie Bouillon, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

81790 Issued in NY

Practice address

108 Kenilworth PL
Brooklyn, NY 11210-2439

Phone

(646) 389-6326

NPI assigned

Oct 27, 2025

Last updated

Oct 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1235007857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 KENILWORTH PL APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102439",
            "telephone_number": "646-389-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 KENILWORTH PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102439",
            "telephone_number": "646-389-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUILLON",
        "first_name": "NATHALIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "81790",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "81790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Boudreau, MSN, WHNP
• Kate Irene Boudreau, MD, MPH
• Matthew Bough, MD
• Darel Bouhadana, D.M.D
• Lateshaw Bouie
• Zakaria Boukhatem, DMD
• Jonathan Bouknight, LMHC
• Boulevard Adult Day Care of Flushing
• Germaine Boulin, LMSW
• Adly Zekry Boulos, DDS

• Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.