MEDICARE: MRS. LAURA ANNE BOUCHER-POTTER LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	ISW01716	RI

General Provider Information

NPI Number	:	1477694719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA ANNE BOUCHER-POTTER LICSW

Provider Business Mailing Address
First Line	:	991 LAFAYETTE RD
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-5328
Country	:	US
Telephone Number	:	401-323-3188
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 TEN ROD RD
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-4238
Country	:	US
Telephone Number	:	401-323-3188
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	11/17/2025

Similar Medicare Providers

1558306951 — ELIZABETH BULLINGER LICSW
Practice Location Address:

650 TEN ROD RD
NORTH KINGSTOWN, RI
02852-4238

Practice Phone: 401-263-3003
Practice Fax:

1932124609 — KRISTEN J BAXTER PT
Practice Location Address:

650 TEN ROD RD , SUITE 10
NORTH KINGSTOWN, RI
02852-4238

Practice Phone: 401-667-7997
Practice Fax: 401-667-7998

1053467936 — CAROL ANN REINERT LCDP
Practice Location Address:

650 TEN ROD RD , UNIT 13
NORTH KINGSTOWN, RI
02852-4238

Practice Phone: 401-331-1350
Practice Fax: 401-277-3366

1548395528 — LAFAYETTE CENTER
Practice Location Address:

650 TEN ROD RD
N KINGSTOWN, RI
02852-4238

Practice Phone: 401-294-6920
Practice Fax:

1336368406 — THE SENSATIONAL CHILD, INC.
Practice Location Address:

650 TEN ROD RD.
NO. KINGSTOWN, RI
02852-4238

Practice Phone: 401-667-2797
Practice Fax: 401-667-2788

1669683603 — ALISSON ROSENBLUM PT
Practice Location Address:

650 TEN ROD RD , LAFAYETTE MILL COMPLEX, #10
NORTH KINGSTOWN, RI
02852-4238

Practice Phone: 401-787-3476
Practice Fax:

Directions to “ MRS. LAURA ANNE BOUCHER-POTTER LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.