Janine Rene Bouldin, LSW is a
Social Worker based in Mentor, Ohio. Janine Rene Bouldin is licensed to practice in Ohio (license number S.2208539) and her current practice location is
8445 Munson Rd, Mentor, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 255-1700.
NPI number for Janine Rene Bouldin is 1972273084 and her current mailing address is 443 High St Unit 2, Fairport Harbor, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972273084.
Healthcare Provider's Profile
| Full Name | Janine Rene Bouldin |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 8445 Munson Rd, Mentor, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972273084
- Provider Enumeration Date: 09/20/2021
- Last Update Date: 12/07/2022
Medical Identifiers
Medical identifiers for Janine Rene Bouldin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972273084 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | S.2208539 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Janine Rene Bouldin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Janine Rene Bouldin, LSW
443 High St Unit 2,
Fairport Harbor, OH 44077-5830
Ph: (440) 477-7191 | Janine Rene Bouldin, LSW
8445 Munson Rd,
Mentor, OH 44060-2410
Ph: (440) 255-1700 |
Reviews and Comments