Audrey Bourque, LICSW
Social Worker, Clinical in Wilmington, Massachusetts
1699277483- Practice location
- 34 Crescent St, Wilmington, MA 01887-1957
- Phone
- 617-306-3721
- Fax
- —
- Last updated
- March 7, 2018
Audrey Bourque is a Social Worker, Clinical based in Wilmington, MA. Audrey Bourque practices in Wilmington, MA and has the professional credentials of LICSW. The NPI Number for Audrey Bourque is 1699277483 and holds a License No. 118372 (MA). The current practice location address for Audrey Bourque is 34 Crescent St, Wilmington, MA 01887-1957 and can be reached out via phone at 617-306-3721.
Provider Profile Details
- NPI Number
- 1699277483
- Provider Name
- Audrey Bourque
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 34 Crescent St, Wilmington, MA 01887-1957
- Phone Number
- 617-306-3721
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 7, 2018
- Last Update Date
- March 7, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 34 Crescent St
Wilmington, MA 01887-1957 - City
- Wilmington
- State
- Massachusetts
- Zip
- 01887-1957
- Phone Number
- 617-306-3721
Provider Business Mailing Address Details
- Address
- 34 Crescent St
Wilmington, MA 01887-1957 - City
- Wilmington
- State
- MA
- Zip
- 01887-1957
- Phone Number
- 617-306-3721
License Information
- License Number
- 118372
- 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 Wilmington, MA
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Frequently Asked Questions
What is the NPI number of Audrey Bourque, LICSW?
The NPI number of Audrey Bourque, LICSW is 1699277483. It was assigned on March 7, 2018 and is currently active in the NPPES registry.
What is the specialty of Audrey Bourque, LICSW?
Audrey Bourque, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 118372.
Where does Audrey Bourque, LICSW practice?
The practice location is 34 Crescent St, Wilmington, MA 01887-1957. The office can be reached at 617-306-3721 (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 1699277483 directly on the NPPES registry website.