Individual provider · Type 1 NPI

Matthew Ian Bouchard, LICSW

Clinical Social Worker · Burlington, VT

NPI number 1174106884 Active

Practice location

128 Lakeside Ave Ste 260
Burlington, VT 05401-5911

Call (802) 657-7087 Map

Fax (802) 657-7078

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X089.0134397 (VT)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1174106884

Matthew Ian Bouchard, LICSW's National Provider Identifier is 1174106884, issued on Apr 30, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Burlington, VT. The record was last updated on Apr 30, 2021.