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Contact Information

MATTHEW BOUCHER, LICSW
17 ASHTON PKWY STE 204
CUMBERLAND, RI02864-4827
 Phone: 014-354-9708
 Fax: 401-333-4692
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MATTHEW BOUCHER · (Male)

NPI # 1740347822
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 01/02/2007
Last updated 04/23/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • RI License # ISW01967
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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