Matthew Ian Bouchard, LICSW - Clinical Social Worker in Burlington, VT

Matthew Ian Bouchard, LICSW is a Social Worker - Clinical based in Burlington, Vermont. Matthew Ian Bouchard is licensed to practice in Vermont (license number 089.0134397) and his current practice location is 128 Lakeside Ave Ste 260, Burlington, Vermont. He can be reached at his office (for appointments etc.) via phone at (802) 657-7087.

NPI number for Matthew Ian Bouchard is 1174106884 and his current mailing address is 128 Lakeside Ave Ste 260, Burlington, Vermont. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174106884.

Contact Information

Matthew Ian Bouchard, LICSW
128 Lakeside Ave Ste 260,
Burlington, VT 05401-5911
(802) 657-7087
(802) 657-7078



Healthcare Provider's Profile

Full NameMatthew Ian Bouchard
GenderMale
SpecialitySocial Worker - Clinical
Location128 Lakeside Ave Ste 260, Burlington, Vermont
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174106884
  • Provider Enumeration Date: 04/30/2021
  • Last Update Date: 04/30/2021

Medical Identifiers

Medical identifiers for Matthew Ian Bouchard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174106884NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 089.0134397 (Vermont)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Matthew Ian Bouchard is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Matthew Ian Bouchard, LICSW
128 Lakeside Ave Ste 260,
Burlington, VT 05401-5911

Ph: (802) 657-7090
Matthew Ian Bouchard, LICSW
128 Lakeside Ave Ste 260,
Burlington, VT 05401-5911

Ph: (802) 657-7087

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› Verified 5 days ago


Social Worker in Burlington, VT

Shannon Kadish, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1138 Pine St, Burlington, VT 05401
Phone: 802-488-6600    
Elyza Moore, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1138 Pine St, Burlington, VT 05401
Phone: 802-488-6000    Fax: 802-488-6919
Ellyn Leamon, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1138 Pine St, Burlington, VT 05401
Phone: 802-863-1326    
Lauren Carpenter, LICSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 617 Riverside Ave, Burlington, VT 05401
Phone: 802-864-6309    
Elaine Soto, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 300 Flynn Ave, Burlington, VT 05401
Phone: 802-488-6300    
Jenifer D'aiello, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1 S Prospect St, Burlington, VT 05401
Phone: 802-847-5331    Fax: 802-847-7765
Kathleen Browne, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 617 Riverside Ave, Burlington, VT 05401
Phone: 802-864-6309    Fax: 802-860-4324

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