Bianca J Boucher, LCSW | |
3 Bridge St, Carthage, NY 13619-1360 | |
(315) 493-3300 | |
(315) 493-3300 |
Full Name | Bianca J Boucher |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 16 Years |
Location | 3 Bridge St, Carthage, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104114479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 082689 (New York) | Primary |
104100000X | Social Worker | 079346 (New York) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Country Transitional Living Services Inc | 2466618749 | 6 |
Entity Name | North Country Transitional Living Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538294699 PECOS PAC ID: 2466618749 Enrollment ID: O20120801000327 |
Entity Name | Bianca Boucher Lcsw Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235990508 PECOS PAC ID: 2062858970 Enrollment ID: O20240314001021 |
Mailing Address | Practice Location Address |
---|---|
Bianca J Boucher, LCSW 3 Bridge St, Carthage, NY 13619-1360 Ph: (315) 493-3300 | Bianca J Boucher, LCSW 3 Bridge St, Carthage, NY 13619-1360 Ph: (315) 493-3300 |
Lisa Marie Hekel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34086 N Lake Rd, Carthage, NY 13619 Phone: 607-821-0155 | |
Mr. Wojciech Jan Konopka, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3 Bridge St, Carthage, NY 13619 Phone: 315-493-4180 Fax: 315-493-4188 | |
Melissa Beagle, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3 Bridge St, Carthage, NY 13619 Phone: 315-493-3300 |