Mrs Chastidy Boutin, in Valdosta, GA - Medicare Social Worker Provider

Mrs Chastidy Boutin, is a medicare enrolled "Social Worker" provider in Valdosta, Georgia. Her current practice location is 1817 Green Cir, Valdosta, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 244-9688.

Mrs Chastidy Boutin is licensed to practice in Georgia (license number CSW009362) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447916333.

Contact Information

	Mrs Chastidy Boutin,
	1817 Green Cir, Valdosta, GA 31602-2885
	(229) 244-9688
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Chastidy Boutin
Gender	Female
Speciality	Social Worker
Location	1817 Green Cir, Valdosta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447916333
Provider Enumeration Date: 11/15/2021
Last Update Date: 01/07/2025

Medicare PECOS Information:

PECOS PAC ID: 2961932744
Enrollment ID: I20250208000071

Medical Identifiers

Medical identifiers for Mrs Chastidy Boutin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447916333	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
104100000X	Social Worker	CSW009362 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Chastidy Boutin allows following entities to bill medicare on her behalf.

Entity Name	The Grounded Mind Therapy And Consultation, L.l.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548079700 PECOS PAC ID: 1052841830 Enrollment ID: O20250208000068

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. Mrs Chastidy Boutin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Chastidy Boutin, 1817 Green Cir, Valdosta, GA 31602-2885 Ph: (229) 244-9688	Mrs Chastidy Boutin, 1817 Green Cir, Valdosta, GA 31602-2885 Ph: (229) 244-9688

Reviews and Comments

Social Worker in Valdosta, GA

Ms. Barbara Faye Frier, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3541 Northcrossing Cir, Valdosta, GA 31602 Phone: 229-244-4200
Mary Fulp-pye, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3541 N Crossing Cir, Valdosta, GA 31602 Phone: 229-244-4200 Fax: 229-244-4995
Lyndi Nicole Farnam, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2109 N Patterson St Ste B, Valdosta, GA 31602 Phone: 229-232-4833 Fax: 877-343-0538
Kelly Delayne Jones, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2310 N Patterson St, Suite G, Valdosta, GA 31602 Phone: 229-244-9688 Fax: 229-244-5354
Ms. Regina Yvette Scruggs, LCSW, MS Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 N Patterson St Ste 50, Valdosta, GA 31601 Phone: 229-834-5452
Lauren Darby, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3790 Old Us Highway 41 N Ste A, Valdosta, GA 31602 Phone: 229-262-1000
Latecia Ammons, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2707 N Barack Obama Blvd, Valdosta, GA 31602 Phone: 229-316-8116

Mrs Chastidy Boutin, - Medicare Clinical Social Worker in Valdosta, GA