Individual provider · Type 1 NPI
Laurel Christine Bourgeois, MSSA LISW-S, LCSW
Clinical Social Worker · Niles, MI
Practice location
30754 Rocking Horse Ln
Niles, MI 49120-5096
Mailing address
126 E Kilgore Rd Ste 400
Portage, MI 49002-0596
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Clinical Social Worker Primary | 1041C0700X | I.1901949-SUPV (OH) |
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 1922724392
Laurel Christine Bourgeois, MSSA LISW-S, LCSW's National Provider Identifier is 1922724392, issued on Oct 17, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Niles, MI. The record was last updated on Aug 21, 2024.