Mrs. Selby S Bourne, MSW, LICSW
Social Worker, Clinical in Centerville, Massachusetts
1609196237- Practice location
- 889 W Main St, Suite C., Centerville, MA 02632-3067
- Phone
- 508-771-2402
- Fax
- —
- Last updated
- March 27, 2024
Selby Shields Bourne is a Social Worker, Clinical based in Centerville, MA. Selby Shields Bourne practices in Centerville, MA and has the professional credentials of MSW, LICSW. The NPI Number for Selby Shields Bourne is 1609196237 and holds a License No. 119067 (MA). The current practice location address for Selby Shields Bourne is 889 W Main St, Suite C., Centerville, MA 02632-3067 and can be reached out via phone at 508-771-2402.
Provider Profile Details
- NPI Number
- 1609196237
- Provider Name
- Selby Shields Bourne
- Credential
- MSW, LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 889 W Main St, Suite C., Centerville, MA 02632-3067
- Phone Number
- 508-771-2402
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 5, 2010
- Last Update Date
- March 27, 2024
- Certification Date
- March 25, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 889 W Main St
Suite C.
Centerville, MA 02632-3067 - City
- Centerville
- State
- Massachusetts
- Zip
- 02632-3067
- Phone Number
- 508-771-2402
Provider Business Mailing Address Details
- Address
- Coastal Wellness, LLC
105 Webster St. Suite 5
Hanover, MA 02339 - City
- Hanover
- State
- MA
- Zip
- 02339
- Phone Number
- 508-360-2811
License Information
- License Number
- 119067
- License State
- MA
- 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. | |||
Other Social Worker, Clinical providers near Centerville, MA
View all Social Worker, Clinical providers in Centerville →- Arthur L Bence, MSWSocial Worker, Clinical · NPI 1457467888
- Ashley Brooks, Licsw, LLCSocial Worker, Clinical · NPI 1619570876
- Cassandra WhiteheadSocial Worker, Clinical · NPI 1033677042
- Emily Moore, LICSWSocial Worker, Clinical · NPI 1659853802
- Hannah MorrisSocial Worker, Clinical · NPI 1083336176
- Jessie LacasseSocial Worker, Clinical · NPI 1790220838
Frequently Asked Questions
What is the NPI number of Mrs. Selby S Bourne, MSW, LICSW?
The NPI number of Mrs. Selby S Bourne, MSW, LICSW is 1609196237. It was assigned on June 5, 2010 and is currently active in the NPPES registry.
What is the specialty of Mrs. Selby S Bourne, MSW, LICSW?
Mrs. Selby S Bourne, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 119067.
Where does Mrs. Selby S Bourne, MSW, LICSW practice?
The practice location is 889 W Main St, Suite C., Centerville, MA 02632-3067. The office can be reached at 508-771-2402 (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 1609196237 directly on the NPPES registry website.