Maritza Bourassa, LCSW
Social Worker, Clinical in Groton, Connecticut
1326055062- Practice location
- 481 Gold Star Hwy, Suite 301, Groton, CT 06340-6224
- Phone
- 860-448-9755
- Fax
- 860-464-2298
- Last updated
- July 8, 2007
Maritza Bourassa is a Social Worker, Clinical based in Groton, CT. Maritza Bourassa practices in Groton, CT and has the professional credentials of LCSW. The NPI Number for Maritza Bourassa is 1326055062 and holds a License No. 005019 (CT). The current practice location address for Maritza Bourassa is 481 Gold Star Hwy, Suite 301, Groton, CT 06340-6224 and can be reached out via phone at 860-448-9755 and via fax at 860-464-2298.
Provider Profile Details
- NPI Number
- 1326055062
- Provider Name
- Maritza Bourassa
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 481 Gold Star Hwy, Suite 301, Groton, CT 06340-6224
- Phone Number
- 860-448-9755
- Fax Number
- 860-464-2298
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 2, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 481 Gold Star Hwy
Suite 301
Groton, CT 06340-6224 - City
- Groton
- State
- Connecticut
- Zip
- 06340-6224
- Phone Number
- 860-448-9755
- Fax Number
- 860-464-2298
Provider Business Mailing Address Details
- Address
- 481 Gold Star Hwy
Suite 301
Groton, CT 06340-6224 - City
- Groton
- State
- CT
- Zip
- 06340-6224
- Phone Number
- 860-448-9755
- Fax Number
- 860-464-2298
License Information
- License Number
- 005019
- 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 Maritza Bourassa, LCSW?
The NPI number of Maritza Bourassa, LCSW is 1326055062. It was assigned on August 2, 2006 and is currently active in the NPPES registry.
What is the specialty of Maritza Bourassa, LCSW?
Maritza Bourassa, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 005019.
Where does Maritza Bourassa, LCSW practice?
The practice location is 481 Gold Star Hwy, Suite 301, Groton, CT 06340-6224. The office can be reached at 860-448-9755 (phone) or 860-464-2298 (fax).
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 1326055062 directly on the NPPES registry website.