Active NPIIndividual provider

Kylee A Bouchard, LCSW

Social Worker, Clinical in Bangor, Maine

NPI Number1497233886
Practice location
268 Stillwater Ave, Bangor, ME 04401-3945
Fax
—
Last updated
April 26, 2023

Kylee Ann Bouchard is a Social Worker, Clinical based in Bangor, ME. Kylee Ann Bouchard practices in Bangor, ME and has the professional credentials of LCSW. The NPI Number for Kylee Ann Bouchard is 1497233886 and holds a License No. MC17353 (ME). The current practice location address for Kylee Ann Bouchard is 268 Stillwater Ave, Bangor, ME 04401-3945 and can be reached out via phone at 207-973-6100.

Provider Profile Details

NPI Number
1497233886
Provider Name
Kylee Ann Bouchard
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
268 Stillwater Ave, Bangor, ME 04401-3945
Phone Number
207-973-6100
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 30, 2018
Last Update Date
April 26, 2023
Certification Date
April 26, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
268 Stillwater Ave
Bangor, ME 04401-3945
City
Bangor
State
Maine
Zip
04401-3945
Phone Number
207-973-6100
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
268 Stillwater Ave
Bangor, ME 04401-3945
City
Bangor
State
ME
Zip
04401-3945
Phone Number
207-973-6100

License Information

License Number (1)
MC17353
License State (1)
ME
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
LC22049
License State (2)
ME
Taxonomy (2)
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 Kylee A Bouchard, LCSW?

The NPI number of Kylee A Bouchard, LCSW is 1497233886. It was assigned on July 30, 2018 and is currently active in the NPPES registry.

What is the specialty of Kylee A Bouchard, LCSW?

Kylee A Bouchard, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number MC17353.

Where does Kylee A Bouchard, LCSW practice?

The practice location is 268 Stillwater Ave, Bangor, ME 04401-3945. The office can be reached at 207-973-6100 (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 1497233886 directly on the NPPES registry website.

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