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

Jenna Boulette, LCSW

Individual provider Clinical Social Worker · NPI 1053086652

Jenna Boulette, LCSW is a Clinical Social Worker in Mansfield Center, Connecticut. Qualified in 2021, 5 years ago. Practices with United Services Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
5
Licensed in
CT
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

140 N Frontage Rd
Mansfield Center, CT 06250-1648
Phone: (860) 456-2261
Fax: (860) 430-1357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 13084 (CT)

Record details

NPI number1053086652
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 16, 2021
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address1007 N Main St, Dayville, CT 06241-2170

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice United Services Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mansfield Center