Hannah C Boudreau, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.019661 Issued in IL

Practice address

844 N Drake Ave
Chicago, IL 60651-4048

Phone

(177) 330-1284

NPI assigned

Oct 11, 2018

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)

Enrolled

State licenses

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1891260279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 N DRAKE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514048",
            "telephone_number": "177-330-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 N DRAKE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514048",
            "telephone_number": "177-330-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAU",
        "first_name": "HANNAH",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Bouda, LCSW
• Katherine Boudet
• Jessica Lynn Boudos, PAC PHYSICIAN ASSIST
• Sarah Elizabeth Boudova, MD
• Sarah M Boudreau-Romano, M.D.
• Justine Rae Boudreau, BCBA
• Ryan Jacob Boudreaux, PT, DPT
• Henrietta Boudros, MA, CCC-SLP
• Meriem Elsayed Boufetta I, MS
• Karina J Bouffard, M.D.

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.