JENNA BOULETTE LCSW
NPI 1053086652
Social Worker - Clinical in Mansfield Center, CT

Active since August 16, 2021PECOS EnrolledAccepts Medicare Assignment
140 N FRONTAGE RD, MANSFIELD CENTER, CT 06250(860) 456-2261(860) 430-1357 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2026, Jun 22, 2023, Aug 16, 2021 (3 updates tracked since 2021).

About Jenna Boulette Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA BOULETTE LCSW (NPI 1053086652) is an individual clinical provider in Mansfield Center, Connecticut, licensed in Connecticut (13084) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053086652
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNA BOULETTECredential: LCSW
Location Address140 N FRONTAGE RDMansfield Center, CT 06250-1648
Mailing Address1007 N Main StDayville, CT 06241-2170 · (860) 774-2020 · Fax (860) 774-0826
Fax(860) 430-1357
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 16, 2021
Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
NPI 1053086652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CT · 13084
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

140 N FRONTAGE RD, Mansfield Center, CT 06250

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jenna Boulette Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406215722
PECOS Enrollment IDI20230705002625
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06250 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
140 N FRONTAGE RD
MANSFIELD CENTER, CT 06250
Social Worker (Clinical)
140 N FRONTAGE RD
MANSFIELD CENTER, CT 06250
Social Worker
140 N FRONTAGE RD
MANSFIELD CENTER, CT 06250
Social Worker
140 N FRONTAGE RD
MANSFIELD CENTER, CT 06250
Social Worker (Clinical)
140 N FRONTAGE RD
MANSFIELD CENTER, CT 06250
Social Worker (Clinical)
140 N FRONTAGE RD
MANSFIELD CENTER, CT 06250
Social Worker
140 N FRONTAGE RD
MANSFIELD CENTER, CT 06250
Social Worker (Clinical)
140 N FRONTAGE RD
MANSFIELD CENTER, CT 06250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenna Boulette's NPI number?

The NPI number for Jenna Boulette is 1053086652. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Where is Jenna Boulette located?

Jenna Boulette practices at 140 N Frontage Rd, Mansfield Center, CT 06250. The listed phone number is (860) 456-2261.

What is Jenna Boulette's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jenna Boulette enrolled in Medicare?

Yes. Jenna Boulette is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jenna Boulette was last updated on March 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.