Individual provider Active NPI

Jon E Boschen, LCSW

  • Clinical Social Worker
  • Waterville, ME
National Provider Identifier
1073842548
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC18993 Issued in ME
Practice address
88 Main St Ste 302
Waterville, ME 04901-6765
Phone
(862) 432-9149
NPI assigned
Dec 13, 2009
Last updated
May 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC18993 ME
Clinical Social Worker 1041C0700X LC18993 ME Primary

Addresses

Primary practice location

88 Main St Ste 302
Waterville, ME 04901-6765

Mailing address

88 Main St Ste 302
Waterville, ME 04901-6765
Phone (862) 432-9149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

88 Main St
Suite 302
Waterville, ME 04901-6602

88 Main St
Suite 302
Waterville, ME 04901-6665

88 Main St
Suite 302
Waterville, ME 04901-6765
Phone (862) 432-9149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC18993MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jon Boschen LCSW, LLC Clinical CurrentSince Apr 17, 2018 Accepting new patients

Locations

88 Main St
Ste 302
Waterville, ME 04901
Phone (862) 432-9149

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1260662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1073842548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MAIN ST STE 302",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016765",
            "telephone_number": "862-432-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MAIN ST STE 302",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016765",
            "telephone_number": "862-432-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCHEN",
        "first_name": "JON",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-13",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC18993",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC18993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.