CHASE T BOUSCHOR LMSW
NPI 1396480224
Social Worker - Clinical in Dearborn, MI

Active since May 04, 2022PECOS Enrolled
3200 GREENFIELD RD STE 300, DEARBORN, MI 48120(646) 453-6777 Get Directions Write a Review

NPPES record last updated: May 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 17, 2026, Mar 27, 2026, May 4, 2022 (3 updates tracked since 2022).

About Chase T Bouschor Lmsw NPPES

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

CHASE T BOUSCHOR LMSW (NPI 1396480224) is an individual clinical provider in Dearborn, Michigan, licensed in Michigan (6801122172) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1396480224
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCHASE T BOUSCHORCredential: LMSW
Location Address3200 GREENFIELD RD STE 300Dearborn, MI 48120-1805
Mailing Address3200 Greenfield Rd Ste 300Dearborn, MI 48120-1805 · (646) 453-6777
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 4, 2022
Last NPPES UpdateMay 17, 20263 updates tracked since enumeration
NPPES CertifiedMay 17, 2026
NPI 1396480224 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 MI · 6801122172
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.

3200 GREENFIELD RD STE 300, Dearborn, MI 48120

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Chase T Bouschor Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436629714
PECOS Enrollment IDI20260528000444
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 48120 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 20

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

Home Health
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Home Health Aide
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Podiatrist
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Nurse Practitioner (Primary Care)
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Behavior Analyst
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Social Worker (Clinical)
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Behavior Technician
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Behavior Technician
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396480224, enumerated as an "individual" on May 04, 2022.

The provider is located at 3200 GREENFIELD RD STE 300 DEARBORN, MI 48120 and the phone number is (646) 453-6777.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.