Mary Boucher Licsw

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MARY BOUCHER LICSW

Practice address

6 Old Rochester Rd Ste 102C
Dover, NH 03820-2028

Phone

(603) 828-2434

NPI assigned

Oct 3, 2018

Organization subpart

No

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

Authorized official

Name

Mary Boucher, LCSWNPI 1033648175

Title

Owner

Phone

(603) 828-2434

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Boucher

  • Clinical Social Worker
  • Dover, NH
  • NPI 1033648175
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1902381114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 NOBLE ST",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038782628",
            "telephone_number": "603-828-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OLD ROCHESTER RD STE 102C",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202028",
            "telephone_number": "603-828-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY BOUCHER LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "BOUCHER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-828-2434",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Marie Martin
• Gabrielle Martin
• Mary Jo Martin, PH.D.
• Patricia L Martin, C.N.M.
• Jessica Marx, PHARMD
• Christine Mason, O.T.
• Andrew L. Mastrobattista, RPH
• Mattheson and Blackman Family Chiropractic and Physical Therapy Center
• Mattheson Chiropractic and Physical Therapy Center PLLC
• Thomas C Mattheson, D.C.

• Adult Mental Health Clinic/Center in Dover, NH
• Providers in Dover, NH by specialty
• Adult Mental Health Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.