Jennifer Nicole Bouchard-Hall, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

102991 Issued in NY

Practice address

1045 James St
Syracuse, NY 13203-2730

Phone

(315) 435-1004

NPI assigned

Jul 28, 2018

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

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": "1532736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1437637873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 KEENEY RD",
            "city": "FABIUS",
            "state": "NY",
            "postal_code": "130639790",
            "telephone_number": "915-503-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032730",
            "telephone_number": "315-435-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD-HALL",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-28",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Nicole Bott
• Luca Bottoni, CRNA
• Boura'a A Bou Aram, M.D.
• Maroun Bou Zerdan, MD
• Jad Z. Bou-Abdallah, MD
• Hope Bouchard, RN
• Michael Louis Boucher, PH.D.
• Jessica Kaye Bouges
• Jessica Boulia
• Fouad S Boulos, MD

• Social Worker in Syracuse, NY
• Providers in Syracuse, 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 Sep 12, 2018; 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.