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.
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)
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
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)