ALEXANDRIA MADELINE BOUCHARD LICSW
NPI 1225472806
Social Worker - Clinical in Manchester, NH

Q: What is Alexandria Bouchard's NPI number?

The NPI number for Alexandria Bouchard is 1225472806. It was assigned to this individual provider in the NPPES registry on April 25, 2013. The provider is also known as Alexandria Madeline Bouchard Ba, Msw.

Q: What is Alexandria Bouchard's specialty?

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

Active since April 25, 2013PECOS Enrolled

95.84/100

CMS Quality Rating

9 BLODGET ST, MANCHESTER, NH 03104(603) 668-4111 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2021, Nov 4, 2019, Jun 1, 2017 (3 updates tracked since 2017).

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About Alexandria Madeline Bouchard Licsw NPPES

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

ALEXANDRIA MADELINE BOUCHARD LICSW (NPI 1225472806) is an individual clinical provider in Manchester, New Hampshire, licensed in New Hampshire (2289) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225472806

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameALEXANDRIA MADELINE BOUCHARDCredential: LICSW

Location Address9 BLODGET STManchester, NH 03104-3598

Mailing Address2 Wall St., Suite 300Manchester, NH 03101 · (603) 668-4111

Phone(603) 668-4111

Sole ProprietorNo

Enumeration DateApril 25, 2013

Last NPPES UpdateMarch 19, 20213 updates tracked since enumeration

NPPES CertifiedMarch 19, 2021

✔ NPI 1225472806 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 NH · 2289

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 ListedSpecialistTaxonomy 174400000X

9 BLODGET ST, Manchester, NH 03104

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Other Names 1

Other Name (5)Alexandria Madeline Bouchard Ba, Msw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandria Madeline Bouchard Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 03104 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

83.35

Improvement Activities

Cost

100

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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.

KAREN M JORGENSEN LICSW, MLADC

Social Worker (Clinical)