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

Kristina Boudreaux, LICSW

Individual provider Mental Health Counselor · NPI 1417476938

Kristina Boudreaux, LICSW is a Mental Health Counselor in Plymouth, Massachusetts. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

900 Ship Pond Rd
Plymouth, MA 02360-1849
Phone: (857) 321-9015
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1417476938
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 15, 2017
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024

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