BIANCA BOUCHER LCSW PLLC NPI 1235990508

NPI Information

  • NPI: 1235990508
  • Provider Name: BIANCA BOUCHER LCSW PLLC
  • Classification: Social Worker - 104100000X
  • Entity Type: Organization
  • Doing Business As: SAGE MIND THERAPY
  • Address: 6006 NUMBER FOUR RD
    LOWVILLE, NY
    ZIP 13367
  • Phone: (315) 220-9525

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NPI Details

BIANCA BOUCHER LCSW PLLC is a social worker in Lowville, NY. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. BIANCA BOUCHER LCSW PLLC NPI is 1235990508. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sage Mind Therapy.

The provider's business location address is:

6006 NUMBER FOUR RD
LOWVILLE, NY
ZIP 13367-309
Phone: (315) 220-9525

The provider's authorized official is Bianca Boucher .
The authorized official title is Sole Member and has the following contact phone number (315) 767-0865.

The enumeration date for this NPI number is 1/23/2024 and was last updated on 6/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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