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BIANCA J BOUCHER LCSW-R
NPI 1104114479
Social Worker - Clinical in Lowville, NY

Active since July 20, 2011PECOS EnrolledAccepts Medicare Assignment
6006 NUMBER FOUR RD, LOWVILLE, NY 13367(315) 220-9525 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2024, Feb 24, 2016 (2 updates tracked since 2016).

About Bianca J Boucher Lcsw-r NPPES

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

BIANCA J BOUCHER LCSW-R (NPI 1104114479) is an individual clinical provider in Lowville, New York, licensed in New York (082689) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Beaver Falls, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1104114479
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBIANCA J BOUCHERCredential: LCSW-R
Location Address6006 NUMBER FOUR RDLowville, NY 13367-3309
Mailing Address6006 Number Four RdLowville, NY 13367-3309 · (315) 220-9525
Phone(315) 220-9525
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 20, 2011
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1104114479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 082689
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 079346 (NY)
6006 NUMBER FOUR RD, Lowville, NY 13367
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Secondary Practice Location 1

Location 16422 Maple StBeaver Falls, NY 13305-7700 · Phone (315) 220-9525

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bianca J Boucher Lcsw-r 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 ID4981903796
PECOS Enrollment IDI20160429000360
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13367 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 5

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

SHERRY LYNN BEYER PT
Physical Therapist
6006 NUMBER FOUR RD
LOWVILLE, NY 13367
Lewis County (315) 377-4114
BIANCA BOUCHER LCSW PLLC
Social Worker
6006 NUMBER FOUR RD
LOWVILLE, NY 13367
Lewis County (315) 220-9525
JOURNEY PHYSICAL THERAPY PLLC
Physical Therapist
6006 NUMBER FOUR RD
LOWVILLE, NY 13367
Lewis County (315) 377-4114
MRS. ELIZA MICHELE ZEHR PT
Specialist
6006 NUMBER FOUR RD
LOWVILLE, NY 13367
Lewis County (315) 377-4114
MS. AMBER R ASTAFAN PT
Physical Therapist (Orthopedic)
6006 NUMBER FOUR RD
LOWVILLE, NY 13367
Lewis County (315) 377-4114

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 Bianca Boucher's NPI number?

The NPI number for Bianca Boucher is 1104114479. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Where is Bianca Boucher located?

Bianca Boucher practices at 6006 Number Four Rd, Lowville, NY 13367. The listed phone number is (315) 220-9525.

What is Bianca Boucher's specialty?

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

Is Bianca Boucher enrolled in Medicare?

Yes. Bianca 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.

When was this NPI record last updated?

The NPPES record for Bianca Boucher was last updated on June 18, 2024. 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.