Individual provider · Type 1 NPI

Mikala Dawn Bousquet, LCSW

Clinical Social Worker · Scarborough, ME

NPI number 1073972535 Active

Practice location

100 Campus Dr Unit 121
Scarborough, ME 04074-7172

Fax (207) 396-7525

Other practice locations

  • 329 Bath Rd, Sweetser, Brunswick, ME 04011-2673 · (800) 434-3000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC18331 (ME)

Clinical Social Worker: 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 interpers…

23 other providers at this address

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About NPI 1073972535

Mikala Dawn Bousquet, LCSW's National Provider Identifier is 1073972535, issued on Feb 12, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Scarborough, ME. The record was last updated on Feb 25, 2026.