Christine Marie Bouchard, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117167 Issued in MA

Practice address

1010 Waltham St
Lexington, MA 02421-8044

Phone

(734) 818-0333

NPI assigned

Aug 31, 2018

Last updated

Aug 31, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1376025809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 KRISTYN LN",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018642629",
            "telephone_number": "734-818-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WALTHAM ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024218044",
            "telephone_number": "734-818-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boston Behavioral Health Associates Inc
• Boston Northwest Home Care Inc. (Assisting Hands - Boston Northwest)
• Boston Pain Solutions PC
• Harvey Irwin Botman, PH.D.
• Celeste Bouchard
• Madlyna Bouchotte
• Edward J Boudreau, PT, OCS
• Sherly Bourdeau
• David Bowen
• Michael Bowes, BCBA

• Clinical Social Worker in Lexington, MA
• Providers in Lexington, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.