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

Kylee Ann Bouchard, LCSW

Individual provider Clinical Social Worker · NPI 1497233886

Kylee Ann Bouchard, LCSW is a Clinical Social Worker in Bangor, Maine. Qualified in 2018, 8 years ago. Practices with Mainegeneral Medical Center, a 556-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
8
Licensed in
ME
In the registry since
2018
Specialties on file
2
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

268 Stillwater Ave
Bangor, ME 04401-3945
Phone: (207) 973-6100
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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 LC22049 (ME)
Clinical Social Worker Taxonomy 1041C0700X · Licence MC17353 (ME)

Record details

NPI number1497233886
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 30, 2018
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023
Mailing address268 Stillwater Ave, Bangor, ME 04401-3945

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mainegeneral Medical Center — 556 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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