Individual provider Active NPI

Jayme Bouck

  • Clinical Social Worker
  • Wellington, FL
National Provider Identifier
1497614374
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW25934 Issued in FL
Practice address
9845 Woodworth CT
Wellington, FL 33414-6409
Phone
(561) 212-2685
NPI assigned
Jan 17, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW25934 FL Primary

Addresses

Primary practice location

9845 Woodworth CT
Wellington, FL 33414-6409

Mailing address

9845 Woodworth CT
Wellington, FL 33414-6409

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW25934FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1768608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1497614374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9845 WOODWORTH CT",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9845 WOODWORTH CT",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146409",
            "telephone_number": "561-212-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCK",
        "first_name": "JAYME",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-17",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; 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.