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

Active since May 04, 2022PECOS EnrolledAccepts Medicare Assignment
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: November 08, 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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chase T Bouschor Lmsw 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 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.

Medicare Billing Reassignment

Medicare enrollment records show Chase Bouschor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
12455 W LAKESHORE DR
Brimley, MI 49715
  • Reassigned Medicare billing, Michigan enrollment
  • 21 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Aide
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Psychologist (Clinical)
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Nurse Practitioner (Primary Care)
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Home Health
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Home Health Aide
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Durable Medical Equipment & Medical Supplies
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Social Worker (Clinical)
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120
Social Worker (Clinical)
3200 GREENFIELD RD STE 300
DEARBORN, MI 48120

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 Chase Bouschor's NPI number?

The NPI number for Chase Bouschor is 1396480224. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is Chase Bouschor located?

Chase Bouschor practices at 3200 Greenfield Rd Ste 300, Dearborn, MI 48120. The listed phone number is (646) 453-6777.

What is Chase Bouschor's specialty?

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

Is Chase Bouschor enrolled in Medicare?

Yes. Chase Bouschor 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.

Which organization bills Medicare for Chase Bouschor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chase Bouschor reassigns Medicare benefits to Bay Mills Indian Community (Brimley, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chase Bouschor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chase Bouschor was last updated on May 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.