Jessi Boucher, LCSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

091920-01 Issued in NY

Practice address

12 Washington St
Fort Edward, NY 12828-1734

Phone

(518) 746-3885

NPI assigned

Jan 30, 2019

Last updated

Sep 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessi Corrigan Former name

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1851855134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BURGOYNE ST",
            "city": "SCHUYLERVILLE",
            "state": "NY",
            "postal_code": "128711416",
            "telephone_number": "518-366-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WASHINGTON ST",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128281734",
            "telephone_number": "518-746-3885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Holland Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083410",
            "country_code": "US",
            "telephone_number": "518-626-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "JESSI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099442-1",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "091920-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSI",
            "last_name": "CORRIGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dakota Storm Blake, PTA
• Theresa Blanchard
• Theresa Anne Boire, OTR/L
• Marinea Bonenfant
• Erika Karoline Bordwell, PSY.D.
• Jamie D Bovair, ANP
• Maria Lynne Brayton, LMHC
• Jacalyn Brennan, MS/SLP/CCC
• Catherine Margaret Briscoe
• Shannon Brock, LCSWR

• School Social Worker in Fort Edward, NY
• Providers in Fort Edward, NY by specialty
• School Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.