Active NPI
Felicia Boulier
- School Social Worker
- Albuquerque, NM
National Provider Identifier
1831706027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- M-11495
- Practice address
- 10800 Dennis Chavez Blvd SW
Albuquerque, NM 87121-5498 - Phone
- (505) 243-1458
- NPI assigned
- Sep 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NM | ||
| School Social Worker | 1041S0200X | M-11495 | NM | Primary |
Addresses
Primary practice location
10800 Dennis Chavez Blvd SW
Albuquerque, NM 87121-5498
Mailing address
2817 Cuervo Dr NE
Albuquerque, NM 87110-3103
Phone (505) 999-8973
Other names 1
- Felicia Roberts
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
| License | State | Type | Specialty |
|---|---|---|---|
| M-11495 | NM | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1831706027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 CUERVO DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871103103",
"telephone_number": "505-999-8973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 DENNIS CHAVEZ BLVD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871215498",
"telephone_number": "505-243-1458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOULIER",
"first_name": "FELICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "M-11495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FELICIA",
"last_name": "ROBERTS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.