Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacalyn Corrine Boucher, CLINICIAN

Individual provider Clinical Social Worker · NPI 1760733372

Jacalyn Corrine Boucher, CLINICIAN is a Clinical Social Worker in Worcester, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
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Practice location Address checks out

250 Commercial St Ste 200
Worcester, MA 01608-1726
Phone: (508) 752-4665
Fax: (508) 752-0947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1760733372
Entity typeIndividual (Type 1)
GenderFemale
Credentials CLINICIAN
Sole proprietorYes
NPI enumeratedSeptember 21, 2012
Last updated in NPPESDecember 16, 2020
Certification dateDecember 16, 2020

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