Active NPIIndividual providerSole proprietor

Richard J Bouchard Jr., LCSW

Social Worker, Clinical in Scarborough, Maine

NPI Number1497791164
Practice location
605 US Route 1 Ste 20, Scarborough, ME 04074-7675
Fax
—
Last updated
February 5, 2025

Richard J Bouchard is a Social Worker, Clinical based in Scarborough, ME. Richard J Bouchard practices in Scarborough, ME and has the professional credentials of LCSW. The NPI Number for Richard J Bouchard is 1497791164 and holds a License No. LC4009 (ME). The current practice location address for Richard J Bouchard is 605 US Route 1 Ste 20, Scarborough, ME 04074-7675 and can be reached out via phone at 207-650-6450.

Provider Profile Details

NPI Number
1497791164
Provider Name
Richard J Bouchard
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
605 US Route 1 Ste 20, Scarborough, ME 04074-7675
Phone Number
207-650-6450
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
-- Rick Bouchard, LCSW (Other Name)
Provider Enumeration Date
June 21, 2006
Last Update Date
February 5, 2025
Certification Date
February 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
605 US Route 1 Ste 20
Scarborough, ME 04074-7675
State
Maine
Zip
04074-7675
Phone Number
207-650-6450
Scarborough, ME 04074Get directions →

Provider Business Mailing Address Details

Address
Po Box 1933
Portland, ME 04104-1933
City
Portland
State
ME
Zip
04104-1933
Phone Number
207-650-6450

License Information

License Number
LC4009
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 Richard J Bouchard Jr., LCSW?

The NPI number of Richard J Bouchard Jr., LCSW is 1497791164. It was assigned on June 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Richard J Bouchard Jr., LCSW?

Richard J Bouchard Jr., LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC4009.

Where does Richard J Bouchard Jr., LCSW practice?

The practice location is 605 US Route 1 Ste 20, Scarborough, ME 04074-7675. The office can be reached at 207-650-6450 (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 1497791164 directly on the NPPES registry website.

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