Nicholas Isaiah Bouchard, LSWAIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SWIA.SC.70129465 Issued in WA

Practice address

620 N Argonne Rd Ste B
Spokane Valley, WA 99212-2792

Phone

(509) 951-2210

NPI assigned

Oct 20, 2026

Last updated

Oct 20, 2026By the provider in NPPES

Sex

Male

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)

Not enrolled

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

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1538066071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 E UPRIVER DR APT J102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992177279",
            "telephone_number": "208-216-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N ARGONNE RD STE B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122792",
            "telephone_number": "509-951-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "NICHOLAS",
        "middle_name": "ISAIAH",
        "credential": "LSWAIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWIA.SC.70129465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Borgman, MSW, LICSW
• Anthony D Bosley Sr.
• Journey Bosley
• Sophia Bosse, RD, CD
• Aubrey Jean Bot
• Kathryn Bough, PHARMACY TECHNICIAN
• Helaina Yvonne Stanyer Boulieris, O.D.
• George James Bourekis, DDS
• Brandon Boutain
• Omari Elizabeth Rose Boutain

• Clinical Social Worker in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; 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.