Individual provider · Type 1 NPI

Mary M. Bourn, LCSW

Clinical Social Worker · Fort Carson, CO

NPI number 1649262601 Active

Practice location

1665 Cochrane Cir Bldg RM121
Fort Carson, CO 80913-4603

Mailing address

1650 Cochrane Cir
Colorado Springs, CO 80913-4613

Other practice locations

  • Landstuhl Regional Medical Center, Landstuhl, GERMANY 66849 · (314) 590-7018

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X398 (CO)

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 1649262601

Mary M. Bourn, LCSW's National Provider Identifier is 1649262601, issued on Aug 16, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Carson, CO. The record was last updated on Feb 19, 2025.