Mindy A Knight Bouchard in Portland - Clinical
Mindy A Knight Bouchard - NPI 1447454947
Mindy A Knight Bouchard is a Clinical in Portland, Maine. Mindy A Knight Bouchard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mindy A Knight Bouchard is 1447454947. The last update date is 2017-02-20.
Mindy A Knight Bouchard's current location address is 225 Commercial St. Suite 300, Portland, Maine. You can contact this provider via phone number 2077680039 and fax number 2077610265. The mailing address for Mindy A Knight Bouchard is 225 Commercial St. Suite 300, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mindy A Knight Bouchard |
|---|---|
| Address | 225 Commercial St. Suite 300, Portland, Maine |
| Phone Number | 2077680039 |
| Fax Number | 2077610265 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1447454947 |
|---|---|
| Provider Enumeration Date | 2007-06-11 |
| Last Updated Date | 2017-02-20 |
Provider Mailing Address Detail
| Address | 225 Commercial St. Suite 300 |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 4102 |
| Phone Number | 2077680039 |
| Fax Number | 2077610265 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC12108 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 264890099 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mindy A Knight Bouchard by the Centers for Medicare & Medicaid Services?
The Mindy A Knight Bouchard has been assigned the NPI (National Provider Identifier) 1447454947 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Mindy A Knight Bouchard is geographically located?
The Mindy A Knight Bouchard is physically situated at the following location: 225 Commercial St. Suite 300, Portland, ME, 4102.
What is Mindy A Knight Bouchard's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mindy A Knight Bouchard's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1447454947 to Mindy A Knight Bouchard?
The Centers for Medicare & Medicaid Services assigned the 1447454947 to Mindy A Knight Bouchard on 2007-06-11.
When was the Mindy A Knight Bouchard's information last updated?
The Mindy A Knight Bouchard's information was last updated on 2017-02-20.