National Provider Identifier

Michael Boucher, LCSW

Michael Boucher, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 613-2705.

NPI 1932083656Rochester, NYClinical Social Worker

Source: public NPPES record, last updated August 05, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1932083656
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
August 05, 2025
Last Updated
August 05, 2025

Practice Location

  • 36 Winthrop St
  • Rochester, NY 14607-1326

Phone: (585) 613-2705

Mailing Address

  • 204 Antlers Dr
  • Rochester, NY 14618-1823

Specialties

  • Clinical Social Worker (1041C0700X)

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Full Record
NPI
1932083656
Entity Type
Individual
Last Name
Boucher
First Name
Michael
Credential
LCSW
Mailing Street Address
204 Antlers Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-1823
Mailing Country
US
Mailing Phone
(585) 613-2705
Practice Street Address
36 Winthrop St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-1326
Practice Country
US
Practice Phone
(585) 613-2705
Practice Fax
(585) 625-0398
Enumeration Date
August 05, 2025
Last Updated
August 05, 2025
Sex
Male
Sole Proprietor
No
Certification Date
August 05, 2025
Taxonomies
Clinical Social Worker (1041C0700X)