Richard J Bouchard in South Portland - Clinical
Richard J Bouchard - NPI 1497791164
Richard J Bouchard is a Clinical in South Portland, Maine. Richard J Bouchard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Richard J Bouchard is 1497791164. The last update date is 2018-01-19.
Richard J Bouchard's current location address is 813 Broadway, South Portland, Maine. You can contact this provider via phone number 2076506450 and fax number 2076506450. The mailing address for Richard J Bouchard is 813 Broadway, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard J Bouchard |
|---|---|
| Address | 813 Broadway, South Portland, Maine |
| Phone Number | 2076506450 |
| Fax Number | 2076506450 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1497791164 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2018-01-19 |
Provider Mailing Address Detail
| Address | 813 Broadway |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 4106 |
| Phone Number | 2076506450 |
| Fax Number | 2076506450 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC4009 |
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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 |
|---|---|---|---|
| 37017 | ME | ANTHEM BC/BS PROVIDER NO. | |
| 264990099 | ME | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Richard J Bouchard by the Centers for Medicare & Medicaid Services?
The Richard J Bouchard has been assigned the NPI (National Provider Identifier) 1497791164. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Richard J Bouchard is physically located?
The Richard J Bouchard is physically situated at the following address: 813 Broadway, South Portland, ME, 4106.
What is the Richard J Bouchard's area of specialization and corresponding taxonomy classification?
The Richard J Bouchard's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did Richard J Bouchard receive its 1497791164 assignment from the Centers for Medicare & Medicaid Services?
The Richard J Bouchard was assigned its 1497791164 on 2006-06-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Richard J Bouchard last refreshed?
The information related to the Richard J Bouchard, including its address, specialty, and other relevant details, was last updated on 2018-01-19.