NIKULAS LAGENE BOUDREAUX
NPI 1053837443
Social Worker - Clinical in Baltimore, MD

Active since August 17, 2017
755 W HAMBURG ST, BALTIMORE, MD 21230(915) 490-0002 Get Directions Write a Review

NPPES record last updated: June 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2023, Jan 9, 2023, Aug 25, 2017 and 1 more (4 updates tracked since 2017).

About Nikulas Lagene Boudreaux NPPES

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

NIKULAS LAGENE BOUDREAUX (NPI 1053837443) is an individual clinical provider in Baltimore, Maryland, licensed in Kansas (10341) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1053837443
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameNIKULAS LAGENE BOUDREAUX
Location Address755 W HAMBURG STBaltimore, MD 21230-2540
Mailing Address3612 N Chouteau Trfy Apt BKansas City, MO 64117-3106
Sole ProprietorYes
Enumeration DateAugust 17, 2017
Last NPPES UpdateJune 24, 20234 updates tracked since enumeration
NPPES CertifiedJune 24, 2023
NPI 1053837443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in KS · 10341 Licensed in MO · 08092017273360
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.
755 W HAMBURG ST, Baltimore, MD 21230

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 Nikulas Boudreaux's NPI number?

The NPI number for Nikulas Boudreaux is 1053837443. It was assigned to this individual provider in the NPPES registry on August 17, 2017.

Where is Nikulas Boudreaux located?

Nikulas Boudreaux practices at 755 W Hamburg St, Baltimore, MD 21230. The listed phone number is (915) 490-0002.

What is Nikulas Boudreaux's specialty?

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

When was this NPI record last updated?

The NPPES record for Nikulas Boudreaux was last updated on June 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.