Individual provider Active NPI

Loretta Marie Bouchard

  • Clinical Social Worker
  • Bloomingdale, NJ
National Provider Identifier
1295795128
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05322800 Issued in NJ
Practice address
61 Glenwild Ave
Bloomingdale, NJ 07403-1544
Phone
(908) 343-6413
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05322800 NJ Primary

Addresses

Primary practice location

61 Glenwild Ave
Bloomingdale, NJ 07403-1544

Mailing address

61 Glenwild Ave
Bloomingdale, NJ 07403-1544
Phone (908) 343-6413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20110830000644 NJ Practitioner - Clinical Social Worker 2163692146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sakowitz Counseling, P.a.Group PAC ID 9335686195, 11 clinicians

Practice addresses (Care Compare)

61 Beaverbrook Rd
Suite 302
Lincoln Park, NJ 07035-1750
Phone (973) 696-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05322800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sakowitz Counseling PA CurrentSince Aug 1, 2024 Accepting new patients
Loretta Bouchard LCSW LLC Clinical CurrentSince Feb 15, 2026 Accepting new patients

Locations

61 Beaverbrook Rd
Ste 302
Lincoln Park, NJ 07035
Phone (973) 696-0800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1295795128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 GLENWILD AVE",
            "city": "BLOOMINGDALE",
            "state": "NJ",
            "postal_code": "074031544",
            "telephone_number": "908-343-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 GLENWILD AVE",
            "city": "BLOOMINGDALE",
            "state": "NJ",
            "postal_code": "074031544",
            "telephone_number": "908-343-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "LORETTA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05322800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, NJ

Sources for this page

Verify at the official NPI Registry.