Judith Emily Boudman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC6581 Issued in ME

Practice address

5 Martin Street
Presque Isle, ME 04769-2238

Phone

(207) 941-8727

Fax

(207) 992-2784

NPI assigned

Nov 12, 2009

Last updated

Nov 12, 2009By 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 1

Addresses

Other identifiers 1

Other names 1

• Judith E. Litz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Aroostook Mental Health Services, Inc.

  dba Amhc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Presque Isle, ME
  • NPI 1487601399

  Clinical

  NPD (past)

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1275860215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MAIN STREET",
            "address_2": "SUITE 301",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016359",
            "telephone_number": "207-941-8727",
            "fax_number": "207-922-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MARTIN STREET",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692238",
            "telephone_number": "207-941-8727",
            "fax_number": "207-992-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDMAN",
        "first_name": "JUDITH",
        "middle_name": "EMILY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257150099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "LITZ",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Blanchard
• Melissa M. Blanchette, MHRT-CSP
• Dana Boardman
• Rhonda L Bossie, CWOCN
• Hilary Rae Boucher, PA
• Cathy A Bradley, FNP
• Lillian Nichole Bray
• Heather Leanne Bresett, CNP
• Joshua G Bresett, FNP
• Mykayla Jean Bresett

• Clinical Social Worker in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.