Individual provider · Type 1 NPI

Carolyn Jo Bourg, LCSW-BCD

Clinical Social Worker · Nederland, TX

NPI number 1962507293 Active

Practice location

3005 Avenue H
Nederland, TX 77627-7607

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X11947 (TX)

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 1962507293

Carolyn Jo Bourg, LCSW-BCD's National Provider Identifier is 1962507293, issued on Sep 13, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Nederland, TX. The record was last updated on Jul 9, 2007.