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

Individual provider Clinical Social Worker · NPI 1164092961

Bridgette Boucher, LCSW, MS is a Clinical Social Worker in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2021 1st Ave Apt 4F
New York, NY 10029-5091
Phone: (212) 729-4549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 082710-01 (NY)

Record details

NPI number1164092961
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , MS
Sole proprietorYes
NPI enumeratedJune 25, 2021
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021

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