Mary Boucher

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

6 Old Rochester Rd Ste 102C
Dover, NH 03820-2028

Phone

(603) 828-2434

NPI assigned

Jun 11, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mary Boucher Licsw

  • Adult Mental Health Clinic/Center
  • Dover, NH
  • NPI 1902381114
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703289600000",
    "number": "1033648175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OLD ROCHESTER RD STE 102C",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202028",
            "telephone_number": "603-828-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OLD ROCHESTER RD STE 102C",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202028",
            "telephone_number": "603-828-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-11",
        "last_updated": "2023-12-23",
        "certification_date": "2023-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calla Boria, CCC-SLP
• Kelly Borish
• Eleanor Bossi, PHARMD
• Michelle Bost, PA
• Dylan P Boucher
• Tammy Marie Boucher, LICSW
• Cheryl Ann Boyd, DMD
• Debora Anne Boyle, MS, CCC-SLP
• Chad Bradbury, BA, LMT
• Sylvia A Bradd, LICSW

• Clinical Social Worker in Dover, NH
• Providers in Dover, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.