Individual provider · Type 1 NPI
Audrey Bourque, LICSW
Clinical Social Worker · Wilmington, MA
Practice location
34 Crescent St
Wilmington, MA 01887-1957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 118372 (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 1699277483
Audrey Bourque, LICSW's National Provider Identifier is 1699277483, issued on Mar 7, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilmington, MA. The record was last updated on Mar 7, 2018.