MARY BOUCHER
NPI 1033648175
Social Worker - Clinical in Dover, NH

Active since June 11, 2017PECOS EnrolledAccepts Medicare Assignment
6 OLD ROCHESTER RD STE 102C, DOVER, NH 03820(603) 828-2434 Get Directions Write a Review

NPPES record last updated: December 23, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary Boucher NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BOUCHER (NPI 1033648175) is an individual clinical provider in Dover, New Hampshire and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1033648175
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY BOUCHER
Location Address6 OLD ROCHESTER RD STE 102CDover, NH 03820-2028
Mailing Address6 Old Rochester Rd Ste 102cDover, NH 03820-2028 · (603) 828-2434
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 11, 2017
Last NPPES UpdateDecember 23, 2023
NPPES CertifiedDecember 23, 2023
✔ NPI 1033648175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6 OLD ROCHESTER RD STE 102C, Dover, NH 03820

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Boucher is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618234790
PECOS Enrollment IDI20171130000257
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Boucher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Adult Mental Health
6 OLD ROCHESTER RD STE 102C
Dover, NH 03820
  • Reassigned Medicare billing, New Hampshire enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
452 services50 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.75 – $174.26
Typical copayment $0.00 (range $14.43 – $43.56)
Most-billed visit code NA
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Mental Health)
6 OLD ROCHESTER RD STE 102C
DOVER, NH 03820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Boucher's NPI number?

The NPI number for Mary Boucher is 1033648175. It was assigned to this individual provider in the NPPES registry on June 11, 2017.

Where is Mary Boucher located?

Mary Boucher practices at 6 Old Rochester Rd Ste 102C, Dover, NH 03820. The listed phone number is (603) 828-2434.

What is Mary Boucher's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mary Boucher enrolled in Medicare?

Yes. Mary Boucher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mary Boucher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Boucher reassigns Medicare benefits to Mary Boucher Licsw (Dover, NH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Boucher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Boucher accept?

Health plans from Anthem Blue Cross and Blue Shield list Mary Boucher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Boucher was last updated on December 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.