Susan A Bouchard, DSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC293 Issued in ME

Practice address

2 Elm St
Waterville, ME 04901-5905

Phone

(207) 873-0866

NPI assigned

Jan 15, 2007

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.

• Dennis P Ratner PHD PA

  • Clinical Psychologist
  • Waterville, ME
  • NPI 1528301892
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205987690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ELM ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015905",
            "telephone_number": "207-873-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ELM ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015905",
            "telephone_number": "207-873-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "SUSAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Anne F Booth, M.A., CCC-A
• Jonathan M Borkum, PHD
• Jon E Boschen, LCSW
• Bosse Family Chiropractic & Wellness, P.a.
• Bouchard Physical Therapy Services Inc
• Kaitlyn Boudreau, LCSW
• Morgan Mae Bourgoin
• Earlyn Kelley Bowers, LCPC
• Deirdre Finney Boylan, LCSW
• Brace Recovery Services LLC

• Clinical Social Worker in Waterville, ME
• Providers in Waterville, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.