MS. KELLY A BOUCHER LCSW
NPI 1205819273
Social Worker - Clinical in Fort Belvoir, VA

Active since November 23, 2005
9300 DEWITT LOOP, FORT BELVOIR, VA 22060(571) 231-1356(571) 231-6626 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 7, 2025, Jun 23, 2025, May 20, 2019 (3 updates tracked since 2019).

About Ms. Kelly A Boucher Lcsw NPPES

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

MS. KELLY A BOUCHER LCSW (NPI 1205819273) is an individual clinical provider in Fort Belvoir, Virginia, licensed in Virginia (0904006182) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1205819273
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KELLY A BOUCHERCredential: LCSW
Location Address9300 DEWITT LOOPFort Belvoir, VA 22060-5285
Mailing Address9300 Dewitt Loop # R2.210Fort Belvoir, VA 22060-5285 · (571) 231-1356 · Fax (571) 231-6626
Fax(571) 231-6626
Sole ProprietorNo
Enumeration DateNovember 23, 2005
Last NPPES UpdateJuly 7, 20253 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
NPI 1205819273 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 VA · 0904006182
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.
9300 DEWITT LOOP, Fort Belvoir, VA 22060

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Occupational Therapy Assistant
9300 DEWITT LOOP
FT BELVOIR, VA 22060
Social Worker (Clinical)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Psychologist (Clinical Child & Adolescent)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Psychiatry & Neurology (Neurology)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Social Worker (Clinical)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Orthopaedic Surgery
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
General Practice
9300 DEWITT LOOP
FORT BELVOIR, VA 22060

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 Kelly Boucher's NPI number?

The NPI number for Kelly Boucher is 1205819273. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Kelly Boucher located?

Kelly Boucher practices at 9300 Dewitt Loop, Fort Belvoir, VA 22060. The listed phone number is (571) 231-1356.

What is Kelly Boucher'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 Kelly Boucher was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.