Emmadora Boutcher, is a
Social Worker - Clinical based in Dummerston, Vermont. Emmadora Boutcher is licensed to practice in Vermont (license number 089.0137076) and her current practice location is
62 Riverside Dr, Dummerston, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 822-2520.
NPI number for Emmadora Boutcher is 1396308409 and her current mailing address is 62 Riverside Dr, Dummerston, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396308409.
Healthcare Provider's Profile
| Full Name | Emmadora Boutcher |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 62 Riverside Dr, Dummerston, Vermont |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396308409
- Provider Enumeration Date: 04/16/2019
- Last Update Date: 05/18/2026
Medical Identifiers
Medical identifiers for Emmadora Boutcher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396308409 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 089.0137076 (Vermont) | Primary |
| 1041C0700X | Social Worker - Clinical | 122182 (Massachusetts) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emmadora Boutcher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Emmadora Boutcher, 62 Riverside Dr, Dummerston, VT 05301-8928 Ph: (802) 822-2520 | Emmadora Boutcher, 62 Riverside Dr, Dummerston, VT 05301-8928 Ph: (802) 822-2520 |
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