Individual provider · Type 1 NPI

Nancy Anne Bourque, LCSW

Clinical Social Worker · New York, NY

NPI number 1629370820 Active

Practice location

258 Riverside Dr, #2A
New York, NY 10025-6156

Fax (212) 865-4176

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X077438 (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 1629370820

Nancy Anne Bourque, LCSW's National Provider Identifier is 1629370820, issued on Nov 22, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Nov 22, 2010.