Rachel Boudreau, LCSW – Clinical Social Worker

Key facts

NPI: 1356817829
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 206143 (AK)
Practice address: 17045 Coronado Rd
Eagle River, AK 99577-7825
Phone: (907) 696-5656
NPI assigned: Oct 22, 2018
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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

Trinity Family Counseling Clinical Social Worker · Eagle River, AK · NPI 1871227637

NPD SOCIAL WORKER

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
206143	AK	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Trinity Family Counseling	Social Worker	Current since Jan 5, 2025	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	206143	AK	Yes

Addresses

Primary practice location

17045 Coronado Rd
Eagle River, AK 99577-7825

Mailing address

17045 Coronado Rd
Eagle River, AK 99577-7825

Other identifiers

Identifier	Type	State	Issuer
135825	Other	AK	LICENSED MASTER SOCIAL WORKER

Other providers in Eagle River, AK

All providers in Eagle River, AK · Clinical Social Worker in Alaska

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.