JENNIFER L. BOULDRY (LCSW) – Clinical Social Worker, NPI 1164824207

JENNIFER L. BOULDRY (LCSW) is a healthcare provider. based in Portland, Maine. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. MC15031 (ME). The NPI Number for JENNIFER L. BOULDRY (LCSW) is 1164824207

Main info

Female
Name
JENNIFER L. BOULDRY (LCSW)
NPI
1164824207
Phone
(207) 874-2141
Address
180 PARK AVE
Enumeration Date
19 September 2014
Last Update Date
15 January 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for JENNIFER L. BOULDRY (LCSW)

  • 180 PARK AVE

    PORTLAND, ME 041022957

    Phone: (207) 874-2141

    Fax: (207) 874-2164

    Type: Location

  • 50 BUCK CREEK RD

    SUITE 200

    AVON, CO 81620

    Phone: (970) 926-6340

    Fax: (970) 926-6348

    Type: Mailing

  • 50 BUCK CREEK ROAD

    SUITE 200

    AVON, CO 816204330

    Phone: (970) 926-6340

    Fax: (970) 926-6348

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04102)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for JENNIFER L. BOULDRY (LCSW)?
JENNIFER L. BOULDRY (LCSW) — NPI 1164824207 — is the standard way to identify this listing.
Can I rely on JENNIFER L. BOULDRY (LCSW) being an active provider?
As of the registry snapshot, JENNIFER L. BOULDRY (LCSW) is marked active.
What is JENNIFER L. BOULDRY (LCSW)'s primary classification?
Clinical Social Worker is the headline specialty for JENNIFER L. BOULDRY (LCSW) here. Clinical services aligned with this taxonomy classification.
Where is JENNIFER L. BOULDRY (LCSW) based?
JENNIFER L. BOULDRY (LCSW) is tied to Portland, Maine in the data we show; additional addresses may exist on the full record.
Why does JENNIFER L. BOULDRY (LCSW) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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