Individual provider · Type 1 NPI

Therese Michelle Boucher, LCSW-C

Clinical Social Worker · Fort Meade, MD

NPI number 1346404894 Active

Practice location

2480 Llewellyn Ave
Fort Meade, MD 20755-7081

Call (301) 677-8895 Map

Mailing address

175 Admiral Cochrane Dr
Annapolis, MD 21401-7316

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10497 (MD)

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 1346404894

Therese Michelle Boucher, LCSW-C's National Provider Identifier is 1346404894, issued on Jul 14, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Meade, MD. The record was last updated on Mar 20, 2023.