Individual provider · Type 1 NPI

Mindy A. Knight Bouchard, LCSW

Clinical Social Worker · Portland, ME

NPI number 1447454947 Active

Practice location

225 Commercial St Ste 300
Portland, ME 04101-6606

Fax (207) 761-0265

Mailing address

225 Commercial St. Suite 300
Portland, ME 04102

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC12108 (ME)

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 1447454947

Mindy A. Knight Bouchard, LCSW's National Provider Identifier is 1447454947, issued on Jun 11, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, ME. The record was last updated on Feb 20, 2017.