ELISE J BOUDREAU
NPI 1104901149
Social Worker in Windham, NH

Q: What is Elise Boudreau's NPI number?

The NPI number for Elise Boudreau is 1104901149. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Q: What is Elise Boudreau's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Elise Boudreau was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment

183 ROCKINGHAM ROAD, WINDHAM, NH 03087(603) 434-9937(603) 434-0427 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elise J Boudreau NPPES

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

ELISE J BOUDREAU (NPI 1104901149) is an individual social worker in Windham, New Hampshire, licensed in New Hampshire (LICSW950) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1997).

NPPES Registry Identity

NPI1104901149

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameELISE J BOUDREAU

Location Address183 ROCKINGHAM ROADWindham, NH 03087

Mailing AddressPo Box 1027Windham, NH 03087 · (603) 434-9937 · Fax (603) 434-0427

Phone(603) 434-9937

Fax(603) 434-0427

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 1997

Enumeration DateOctober 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104901149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NH · LICSW950

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

183 ROCKINGHAM ROAD, Windham, NH 03087

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Other Identifiers 1

Medicare ID-Type UnspecifiedRE6591NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and more.Insurance ›

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

Elise J Boudreau 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 ID1456518059

PECOS Enrollment IDI20120209000662

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.

Other Providers at the Same Location NPPES 15

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

TAMMY J BRANCA BA

Specialist