person
Melissa R Bourque, LCSW
Clinical Social Worker in Waterbury, Connecticut
NPI 1821472770

Melissa R Bourque is a Clinical Social Worker based in Waterbury, CT and is specialized in Clinical. Melissa R Bourque practices in Waterbury, CT and has the professional credentials of LCSW. The NPI Number for Melissa R Bourque is 1821472770 and holds a License No. 10219 (Connecticut).

The current practice location address for Melissa R Bourque is 141 E Main St Fl 1, Waterbury, CT and can be reached out via phone at 203-574-9000 and via fax at 203-574-9006.

Location: 141 E Main St Fl 1, Waterbury, CT, 06702-2310
person
Provider Profile Details
NPI Number
1821472770
Provider Name
Melissa R Bourque
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
141 E Main St Fl 1, Waterbury, CT, 06702-2310
Phone Number
203-574-9000
Fax Number
203-574-9006
Provider Enumeration Date
07/09/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060669107 01 CT UBH-CONNECTICARE WELLMORE GRP/FACILITY
NOT ELIGIBLE 01 CT MHN TRICARE NORTH
060669107 01 CT ANTHEM BCBS OF CT WELLMORE GRP/FACILITY
060669107 01 CT HEALTHYCT WELLMORE GRP/FACILITY
D339209 01 CT VALUE OPTIONS/BEACON HEALTH STRATEGIES
PENDING 01 CT AETNA BEHAVIORAL HEALTH
060669107 01 CT UBH-UNITED HEALTH CARE WELLMORE GRP/FACILITY
060669107 01 CT UBH-OXFORD HEALTH FREEDOM/LIBERTY WELLMORE GRP/FACILITY
13671798 01 CT CAQH
008062581 05 CT
060669107 01 CT UNITED BEHAVIORAL HEALTH WELLMORE GRP/FACILITY
PENDING 01 CT CIGNA BEHAVIORAL HEALTH
institution
Provider Business Practice Location Address Details
Address
141 E Main St Fl 1
City
State
Zip
06702-2310
Phone Number
203-574-9000
Fax Number
203-574-9006
person
Provider Business Mailing Address Details
Address
141 E Main St Fl 1
City
State
Zip
06702-2310
Phone Number
203-574-9000
Fax Number
203-574-9006
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
10219 (Connecticut)
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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