Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bianca J Boucher, LCSW-R

Individual provider Social Worker · NPI 1104114479

Bianca J Boucher, LCSW-R is a Clinical Social Worker in Lowville, New York. Qualified in 2008, 18 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

6006 Number Four Rd
Lowville, NY 13367-3309
Phone: (315) 220-9525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6422 Maple St, Beaver Falls, NY 13305-7700 — (315) 220-9525

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 082689 (NY)
Social Worker Taxonomy 104100000X · Licence 079346 (NY)

Record details

NPI number1104114479
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedJuly 20, 2011
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lowville