Jenna A Bourassa, LCSW
Social Worker, Clinical in Watertown, Connecticut
1154248615- Practice location
- 43 Mallory RD, Watertown, CT 06795-2773
- Phone
- 203-695-4400
- Fax
- —
- Last updated
- July 3, 2026
Jenna Ann Bourassa is a Social Worker, Clinical based in Watertown, CT. Jenna Ann Bourassa practices in Watertown, CT and has the professional credentials of LCSW. The NPI Number for Jenna Ann Bourassa is 1154248615 and holds a License No. 58.015939 (CT). The current practice location address for Jenna Ann Bourassa is 43 Mallory RD, Watertown, CT 06795-2773 and can be reached out via phone at 203-695-4400.
Provider Profile Details
- NPI Number
- 1154248615
- Provider Name
- Jenna Ann Bourassa
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 43 Mallory RD, Watertown, CT 06795-2773
- Phone Number
- 203-695-4400
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 3, 2026
- Last Update Date
- July 3, 2026
- Certification Date
- July 3, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 43 Mallory RD
Watertown, CT 06795-2773 - City
- Watertown
- State
- Connecticut
- Zip
- 06795-2773
- Phone Number
- 203-695-4400
Provider Business Mailing Address Details
- Address
- 43 Mallory RD
Watertown, CT 06795-2773 - City
- Watertown
- State
- CT
- Zip
- 06795-2773
- Phone Number
- 203-695-4400
License Information
- License Number
- 58.015939
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jenna A Bourassa, LCSW?
The NPI number of Jenna A Bourassa, LCSW is 1154248615. It was assigned on July 3, 2026 and is currently active in the NPPES registry.
What is the specialty of Jenna A Bourassa, LCSW?
Jenna A Bourassa, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 58.015939.
Where does Jenna A Bourassa, LCSW practice?
The practice location is 43 Mallory RD, Watertown, CT 06795-2773. The office can be reached at 203-695-4400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154248615 directly on the NPPES registry website.