Constantina Helen Boudouvas, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

36098 Issued in TX

Practice address

955 Dairy Ashford St
Houston, TX 77079-5310

Phone

(832) 264-8968

NPI assigned

Feb 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457488959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10414 GOLD POINT DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770647106",
            "telephone_number": "832-264-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 DAIRY ASHFORD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795310",
            "telephone_number": "832-264-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDOUVAS",
        "first_name": "CONSTANTINA",
        "middle_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "36098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Bouchard, FNP-BC
• Olga Sasha Bouchard
• Jennie Heinze Boucher, MA, LPC
• Kathleen M. Bouchillon, RN, FNP
• Crystal Boudet
• Jocelyn Jackson Boudreau, LCSW
• Pamela Cole Boudreau
• Amber Boudreaux
• Daniel A Boudreaux, DC
• Darla D Boudreaux

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.