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

Celeste Bouchard

Individual provider Behavior Technician · NPI 1265067946

Celeste Bouchard is a Clinical Social Worker in Lexington, Massachusetts. Qualified in 2022, 4 years ago. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1666 Massachusetts Ave Ste 10 Second Fl
Lexington, MA 02420
Phone: (855) 641-1379
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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 1140315 (MA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1265067946
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 3, 2020
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address5 Richardson Ave, Lowell, MA 01850-2032

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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