Individual provider · Type 1 NPI

Loretta Marie Bouchard

Clinical Social Worker · Bloomingdale, NJ

NPI number 1295795128 Active

Practice location

61 Glenwild Ave
Bloomingdale, NJ 07403-1544

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05322800 (NJ)

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 1295795128

Loretta Marie Bouchard's National Provider Identifier is 1295795128, issued on Mar 24, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomingdale, NJ. The record was last updated on Feb 9, 2026.