Individual provider · Type 1 NPI

Selby Shields Bourne, MSW, LICSW

Clinical Social Worker · Centerville, MA

NPI number 1609196237 Active

Practice location

889 W Main St, Suite C.
Centerville, MA 02632-3067

Call (508) 771-2402 Map

Mailing address

Coastal Wellness, Llc, 105 Webster St. Suite 5
Hanover, MA 02339

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X119067 (MA)

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 1609196237

Selby Shields Bourne, MSW, LICSW's National Provider Identifier is 1609196237, issued on Jun 5, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Centerville, MA. The record was last updated on Mar 27, 2024.