Individual provider · Type 1 NPI
Shenell Bourne, LCSW
Clinical Social Worker · Hauppauge, NY
Practice location
PO Box 13113
Hauppauge, NY 11788-0553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 15685 (CT) |
| Clinical Social Worker Primary | 1041C0700X | 091252 (NY) |
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…
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About NPI 1144927401
Shenell Bourne, LCSW's National Provider Identifier is 1144927401, issued on Feb 7, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hauppauge, NY. The record was last updated on Feb 5, 2026.