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KENNEDIE JOLENE BOULTON LMSW
NPI 1154017085
Social Worker in Carthage, NY

Active since April 13, 2023
3 BRIDGE STREET, CARTHAGE, NY 13619(315) 493-3300(315) 493-3306 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennedie Jolene Boulton Lmsw NPPES

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

KENNEDIE JOLENE BOULTON LMSW (NPI 1154017085) is an individual social worker in Carthage, New York, licensed in New York (119378-01) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1154017085
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKENNEDIE JOLENE BOULTONCredential: LMSW
Location Address3 BRIDGE STREETCarthage, NY 13619
Mailing Address3 Bridge StreetCarthage, NY 13619 · (315) 493-3300 · Fax (315) 493-3306
Phone(315) 493-3300
Fax(315) 493-3306
Sole ProprietorNo
Enumeration DateApril 13, 2023
Last NPPES UpdateMay 20, 2024
NPPES CertifiedApril 13, 2023
✔ NPI 1154017085 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 NY · 119378-01
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.
3 BRIDGE STREET, Carthage, NY 13619
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Other Names 1

Former Name (1)Kennedie Jolene Brown

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 11

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

MICHAEL D. HINMAN PA
Physician Assistant
3 BRIDGE STREET, SUITE 3
CARTHAGE, NY 13619
Jefferson County (315) 493-7334
MRS. SHAWNA RAE BERRY LMSW
Social Worker
3 BRIDGE STREET
CARTHAGE, NY 13619
Jefferson County (315) 493-3300
MR. SAMUEL S VERBECK JR. RPA
Physician Assistant
3 BRIDGE STREET, SUITE 3
CARTHAGE, NY 13619
Jefferson County (315) 493-7334
MICHELE WHITE LMHC
Counselor (Mental Health)
3 BRIDGE STREET, BH CLINIC
CARTHAGE, NY 13619
Jefferson County (315) 493-3300
JANE M ROUNDS FNP-BC
Nurse Practitioner (Family)
3 BRIDGE STREET, SUITE 3
CARTHAGE, NY 13619
Jefferson County (315) 493-7334
NATA Z PARNES M.D.
Orthopaedic Surgery
3 BRIDGE STREET
CARTHAGE, NY 13619
Jefferson County (315) 493-3333
DR. SCOTT H MITCHELL M.D.
Internal Medicine
3 BRIDGE STREET, SUITE 3
CARTHAGE, NY 13619
Jefferson County (315) 493-7334
MISS SARAH E HILL FNP-BC
Nurse Practitioner (Family)
3 BRIDGE STREET, SUITE 3
CARTHAGE, NY 13619
Jefferson County (315) 493-7334

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 Kennedie Boulton's NPI number?

The NPI number for Kennedie Boulton is 1154017085. It was assigned to this individual provider in the NPPES registry on April 13, 2023. The provider is also known as Kennedie Jolene Brown.

Where is Kennedie Boulton located?

Kennedie Boulton practices at 3 Bridge Street, Carthage, NY 13619. The listed phone number is (315) 493-3300.

What is Kennedie Boulton's specialty?

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

What insurance does Kennedie Boulton accept?

Health plans from Providence Health Plan list Kennedie Boulton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kennedie Boulton was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.