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

Matthew Boucher, LICSW

Individual provider Clinical Social Worker · NPI 1740347822

Matthew Boucher, LICSW is a Clinical Social Worker in Cumberland, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2007
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

17 Ashton Pkwy Ste 204
Cumberland, RI 02864-4827
Phone: (014) 354-9708
Fax: (401) 333-4692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence ISW01967 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence ISW01967 (RI)

Record details

NPI number1740347822
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 2, 2007
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing address17 Ashton Pkwy Ste 204, Cumberland, RI 02864-4827

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