Individual provider Active NPI

Danielle Duchatellier Boucree, LMSW

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1932768769
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24934 Issued in MD
Practice address
8409 Carlynn Dr
Bethesda, MD 20817-4305
Phone
(301) 536-2724
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2024

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 24934 MD Primary

Addresses

Primary practice location

8409 Carlynn Dr
Bethesda, MD 20817-4305

Mailing address

8409 Carlynn Dr
Bethesda, MD 20817-4305
Phone (301) 536-2724

Other practice location 1

2639 Connecticut Ave NW Ste 251
Washington, DC 20008-2651
Phone (301) 536-2724

Other practice location 2

10810 Darnestown Rd Ste 103
North Potomac, MD 20878-2604
Phone (301) 536-2724

Other practice location 3

8607 Cedar St
Silver Spring, MD 20910-4324
Phone (301) 536-2724

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
24934MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1932768769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8409 CARLYNN DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208174305",
            "telephone_number": "301-536-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8409 CARLYNN DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208174305",
            "telephone_number": "301-536-2724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2639 Connecticut Ave NW Ste 251",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200082651",
            "country_code": "US",
            "telephone_number": "301-536-2724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10810 Darnestown Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "North Potomac",
            "state": "MD",
            "postal_code": "208782604",
            "country_code": "US",
            "telephone_number": "301-536-2724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8607 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209104324",
            "country_code": "US",
            "telephone_number": "301-536-2724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUCREE",
        "first_name": "DANIELLE",
        "middle_name": "DUCHATELLIER",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; 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.