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

Cassandra Jenna Bouchard

Individual provider Clinical Social Worker · NPI 1134768500

Cassandra Jenna Bouchard 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
2020
Specialties on file
2

Practice location Address checks out

451 E 83rd St Apt 6C
New York, NY 10028-6137
Phone: (516) 305-3092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 095317 (NY)
Social Worker Taxonomy 104100000X · Licence 107136 (NY)

Record details

NPI number1134768500
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 2, 2020
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023

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