Individual provider · Type 1 NPI

Yvelande Boursiquot, LICSW

Clinical Social Worker · Brockton, MA

NPI number 1851858401 Active

Practice location

37 Belmont St Ste 203
Brockton, MA 02301-5289

Call (774) 381-9648 Map

Fax (877) 800-9185

Mailing address

37 Parkview Ln
Brockton, MA 02302-1960

Other practice locations

594 Charles St, Providence, RI 02904-1370 · (774) 381-9648
37 Parkview Ln, Brockton, MA 02302-1960 · (857) 247-2722

Specialties and licenses

Taxonomy	Code	License
Social Worker	104100000X	ISW03309 (RI)
Mental Health Counselor	101YM0800X	ISW03309 (RI)
Mental Health Counselor	101YM0800X	223293 (MA)
Social Worker	104100000X	223293 (MA)
Clinical Social Worker Primary	1041C0700X	None listed

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…

2 other providers at this address

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About NPI 1851858401

Yvelande Boursiquot, LICSW's National Provider Identifier is 1851858401, issued on Mar 1, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brockton, MA. The record was last updated on Aug 22, 2025.