Active NPIIndividual providerSole proprietor

Ms. Alisa M Bouchard, MC11151

Social Worker, Clinical in Brewer, Maine

NPI Number1467647131
Practice location
Po Box 126, Brewer, ME 04412-0126
Fax
—
Last updated
September 17, 2026

Alisa Marie Reed Bouchard is a Social Worker, Clinical based in Brewer, ME. Alisa Marie Reed Bouchard practices in Brewer, ME and has the professional credentials of MC11151. The NPI Number for Alisa Marie Reed Bouchard is 1467647131 and holds a License No. R078727-1 (NY). The current practice location address for Alisa Marie Reed Bouchard is Po Box 126, Brewer, ME 04412-0126 and can be reached out via phone at 207-329-0375.

Provider Profile Details

NPI Number
1467647131
Provider Name
Alisa Marie Reed Bouchard
Credential
MC11151
Provider Entity Type
Individual
Gender
Female
Address
Po Box 126, Brewer, ME 04412-0126
Phone Number
207-329-0375
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Mrs. Alisa Reed, R078727 (Professional Name)
Provider Enumeration Date
September 6, 2007
Last Update Date
September 17, 2026
Certification Date
September 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
Po Box 126
Brewer, ME 04412-0126
City
Brewer
State
Maine
Zip
04412-0126
Phone Number
207-329-0375
Brewer, ME 04412Get directions →

Provider Business Mailing Address Details

Address
Po Box 126
Brewer, ME 04412-0126
City
Brewer
State
ME
Zip
04412-0126
Phone Number
207-329-0375

License Information

License Number (1)
R078727-1
License State (1)
NY
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
LC23019
License State (2)
ME
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Ms. Alisa M Bouchard, MC11151?

The NPI number of Ms. Alisa M Bouchard, MC11151 is 1467647131. It was assigned on September 6, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Alisa M Bouchard, MC11151?

Ms. Alisa M Bouchard, MC11151 is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number R078727-1.

Where does Ms. Alisa M Bouchard, MC11151 practice?

The practice location is Po Box 126, Brewer, ME 04412-0126. The office can be reached at 207-329-0375 (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 1467647131 directly on the NPPES registry website.

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