Jerry Boudreaux, L C S W
NPI 1366515702 · Clinical Social Worker · Gulfport, MS
Jerry Boudreaux, L C S W is a Clinical Social Worker provider in Gulfport, MS (NPI 1366515702).
Provider details
- NPI number
- 1366515702
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- L C S W
- Sex
- Male
- Sole proprietor
- No
- License
- 0058 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jerry Boudreaux's NPI number?
- Jerry Boudreaux's National Provider Identifier (NPI) is 1366515702, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Boudreaux's specialty?
- Jerry Boudreaux is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jerry Boudreaux located?
- Jerry Boudreaux's practice location on file with NPPES is 549 E Pass Rd, Gulfport, MS 39507-3261.
- What is Jerry Boudreaux's phone number?
- The practice phone number listed in the NPPES registry for Jerry Boudreaux is (228) 896-9251.
- Is Jerry Boudreaux's NPI active?
- Yes — Jerry Boudreaux's NPI (1366515702) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.