MRS. CHASTIDY BOUTIN - NPI 1447916333 - Social Worker in Valdosta, GA

Q: What is Chastidy Boutin's NPI number?

The NPI number for Chastidy Boutin is 1447916333. It was assigned to this individual provider in the NPPES registry on November 15, 2021.

Q: What is Chastidy Boutin'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 Chastidy Boutin was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

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About Mrs. Chastidy Boutin NPPES

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

MRS. CHASTIDY BOUTIN (NPI 1447916333) is an individual social worker in Valdosta, Georgia, licensed in Georgia (CSW009362) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1447916333

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. CHASTIDY BOUTIN

Location Address1817 GREEN CIRValdosta, GA 31602-2885

Mailing Address1817 Green CirValdosta, GA 31602-2885 · (229) 244-9688

Phone(229) 244-9688

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 15, 2021

Last NPPES UpdateJanuary 7, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2025

✔ NPI 1447916333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in GA · CSW009362

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.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

1817 GREEN CIR, Valdosta, GA 31602

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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

Mrs. Chastidy Boutin 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 ID2961932744

PECOS Enrollment IDI20250208000071

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 7

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

DR. DESTIN NICOLE STEWART PHD

Psychologist