Johnda Ann Bouthillier, LCSW, LADC is a
Social Worker - Clinical based in Norwich, Connecticut. Johnda Ann Bouthillier is licensed to practice in Connecticut (license number 003961) and her current practice location is
47 Town St, Norwich, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 892-7042.
NPI number for Johnda Ann Bouthillier is 1376582742 and her current mailing address is 47 Town St, Norwich, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376582742.
Healthcare Provider's Profile
Full Name | Johnda Ann Bouthillier |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 47 Town St, Norwich, Connecticut |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376582742
- Provider Enumeration Date: 06/04/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Johnda Ann Bouthillier such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376582742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 000505 (Connecticut) | Primary |
1041C0700X | Social Worker - Clinical | 003961 (Connecticut) | 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. Johnda Ann Bouthillier 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 |
Johnda Ann Bouthillier, LCSW, LADC 47 Town St, Norwich, CT 06360-2315 Ph: (860) 892-7042 | Johnda Ann Bouthillier, LCSW, LADC 47 Town St, Norwich, CT 06360-2315 Ph: (860) 892-7042 |
Reviews and Comments