MR. JERRY PAUL BOUDREAUX L C S W
NPI 1366515702
Social Worker - Clinical in Gulfport, MS

Active since November 15, 2006
549 E PASS RD, SUITE P, GULFPORT, MS 39507(228) 896-9251(228) 897-6003 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Social Worker
  • Clinical

About JERRY BOUDREAUX

This page provides the complete NPI Profile along with additional information for Jerry Boudreaux, a provider established in Gulfport, Mississippi with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1366515702 assigned on November 2006. The practitioner's primary taxonomy code is 1041C0700X with license number 0058 (MS). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1366515702 Verify this NPI
Provider Name
MR. JERRY PAUL BOUDREAUX L C S W
Gender
Male
Entity Type
Individual
Location Address
549 E PASS RD SUITE P GULFPORT, MS 39507
Location Phone
(228) 896-9251
Location Fax
(228) 897-6003
Mailing Address
549 E PASS RD SUITE P GULFPORT, MS 39507
Mailing Phone
(228) 896-9251
Mailing Fax
(228) 897-6003
Is Sole Proprietor?
No
Enumeration Date
11-15-2006
Last Update Date
07-08-2007
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A clinical social worker like Jerry Boudreaux is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
0058
License State
MS
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366515702, enumerated as an "individual" on November 15, 2006.

The provider is located at 549 E PASS RD SUITE P GULFPORT, MS 39507 and the phone number is (228) 896-9251.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.