Active NPIIndividual providerSole proprietor

Dr. Susan A Bouchard, DSW, MSW

Social Worker, Clinical in Waterville, Maine

NPI Number1205987690
Practice location
2 Elm St, Waterville, ME 04901-5905
Fax
—
Last updated
July 8, 2007

Susan A Bouchard is a Social Worker, Clinical based in Waterville, ME. Susan A Bouchard practices in Waterville, ME and has the professional credentials of DSW, MSW. The NPI Number for Susan A Bouchard is 1205987690 and holds a License No. LC293 (ME). The current practice location address for Susan A Bouchard is 2 Elm St, Waterville, ME 04901-5905 and can be reached out via phone at 207-873-0866.

Provider Profile Details

NPI Number
1205987690
Provider Name
Susan A Bouchard
Credential
DSW, MSW
Provider Entity Type
Individual
Gender
Female
Address
2 Elm St, Waterville, ME 04901-5905
Phone Number
207-873-0866
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 15, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Elm St
Waterville, ME 04901-5905
State
Maine
Zip
04901-5905
Phone Number
207-873-0866
Waterville, ME 04901Get directions →

Provider Business Mailing Address Details

Address
2 Elm St
Waterville, ME 04901-5905
City
Waterville
State
ME
Zip
04901-5905
Phone Number
207-873-0866

License Information

License Number
LC293
License State
ME
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Susan A Bouchard, DSW, MSW?

The NPI number of Dr. Susan A Bouchard, DSW, MSW is 1205987690. It was assigned on January 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Susan A Bouchard, DSW, MSW?

Dr. Susan A Bouchard, DSW, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC293.

Where does Dr. Susan A Bouchard, DSW, MSW practice?

The practice location is 2 Elm St, Waterville, ME 04901-5905. The office can be reached at 207-873-0866 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205987690 directly on the NPPES registry website.

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