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

K. Michael Boucher, LCSW

Individual provider Clinical Social Worker · NPI 1538298146

K. Michael Boucher, LCSW is a Clinical Social Worker in Albany, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

425 Ellsworth St SW
Albany, OR 97321-2362
Phone: (541) 619-8121
Fax: (541) 924-9600
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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 L2692 (OR)

Record details

NPI number1538298146
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 2, 2007
Last updated in NPPESJuly 8, 2007
Mailing address425 Ellsworth St Sw, Albany, OR 97321-2362

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