MATTHEW IAN BOUCHARD LICSW
NPI 1174106884
Social Worker - Clinical in Burlington, VT

Active since April 30, 2021
128 LAKESIDE AVE STE 260, BURLINGTON, VT 05401(802) 657-7087(802) 657-7078 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew Ian Bouchard Licsw NPPES

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

MATTHEW IAN BOUCHARD LICSW (NPI 1174106884) is an individual clinical provider in Burlington, Vermont, licensed in Vermont (089.0134397) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1174106884
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMATTHEW IAN BOUCHARDCredential: LICSW
Location Address128 LAKESIDE AVE STE 260Burlington, VT 05401-5911
Mailing Address128 Lakeside Ave Ste 260Burlington, VT 05401-5911 · (802) 657-7090 · Fax (802) 657-7078
Fax(802) 657-7078
Sole ProprietorNo
Enumeration DateApril 30, 2021
NPPES CertifiedJanuary 14, 2021
NPI 1174106884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VT · 089.0134397
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.
128 LAKESIDE AVE STE 260, Burlington, VT 05401

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner
128 LAKESIDE AVE STE 260
BURLINGTON, VT 05401
Social Worker (Clinical)
128 LAKESIDE AVE STE 260
BURLINGTON, VT 05401
Nurse Practitioner
128 LAKESIDE AVE STE 260
BURLINGTON, VT 05401
Internal Medicine
128 LAKESIDE AVE STE 260
BURLINGTON, VT 05401
Nurse Practitioner (Primary Care)
128 LAKESIDE AVE STE 260
BURLINGTON, VT 05401
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
128 LAKESIDE AVE STE 260
BURLINGTON, VT 05401
Social Worker (Clinical)
128 LAKESIDE AVE STE 260
BURLINGTON, VT 05401
Nurse Practitioner (Adult Health)
128 LAKESIDE AVE STE 260
BURLINGTON, VT 05401

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 Matthew Bouchard's NPI number?

The NPI number for Matthew Bouchard is 1174106884. It was assigned to this individual provider in the NPPES registry on April 30, 2021.

Where is Matthew Bouchard located?

Matthew Bouchard practices at 128 Lakeside Ave Ste 260, Burlington, VT 05401. The listed phone number is (802) 657-7087.

What is Matthew Bouchard's specialty?

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

When was this NPI record last updated?

The NPPES record for Matthew Bouchard was last updated on April 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.