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

Kimberly Ann Boucher

Individual provider Clinical Social Worker · NPI 1174256200

Kimberly Ann Boucher is a Clinical Social Worker in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

11925 Hayden Lakes Cir
Jacksonville, FL 32218-9067
Phone: (207) 356-3365
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW19902 (FL)

Record details

NPI number1174256200
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2022
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025

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