Deborah Wachter Boucha, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801089036 Issued in MI

Practice address

120 W Exchange St
Suite 300
Owosso, MI 48867-2834

Phone

(989) 723-8239

Fax

(989) 723-8230

NPI assigned

Mar 11, 2010

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Catholic Charities of Shiawassee and Genesee Counties

  • Mental Health Counselor
  • Owosso, MI
  • NPI 1801819149
  NPD (past)

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1174846653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CHIPPEWA ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485031552",
            "telephone_number": "810-232-9950",
            "fax_number": "810-232-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W EXCHANGE ST",
            "address_2": "SUITE 300",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672834",
            "telephone_number": "989-723-8239",
            "fax_number": "989-723-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHA",
        "first_name": "DEBORAH",
        "middle_name": "WACHTER",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha Mae Boon, MSOT, OTRL
• Adrian Marie Boone
• Chloria D Boone
• Wyatt Boothby-Shoemaker, MD
• Tiffany Borregard
• Cassondra Boulis
• Jonathon Boulis
• Alison Marie Bowers, NURSE PRACTITIONER
• Scott E Boyd, PA-C
• Theresa Faith Braden-Horstman, MSW

• Clinical Social Worker in Owosso, MI
• Providers in Owosso, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.