Individual provider · Type 1 NPI

Nicole Bourgoyne, LGSW

Clinical Social Worker · Duluth, MN

NPI number 1609693050 Active

Practice location

4325 Grand Ave
Duluth, MN 55807-2730

Call (218) 722-1497 Map

Fax (218) 722-6239

Mailing address

2222 E 5th St
Superior, WI 54880-3709

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X32463 (MN)

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 1609693050

Nicole Bourgoyne, LGSW's National Provider Identifier is 1609693050, issued on Sep 25, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Duluth, MN. The record was last updated on Sep 25, 2024.