MELISSA R BOURQUE


Address: 141 E Main St Fl 1, Waterbury, CT 06702-2310
Phone: 2035749000

MELISSA R BOURQUE (NPI# 1821472770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821472770
Entity Type Individual
Full Name MELISSA R BOURQUE
Other Name MELISSA R WILLIAMS
Credential LCSW
Practice Address 141 E Main St Fl 1
Waterbury
CT 06702-2310
Mailing Address 141 E Main St Fl 4
Waterbury
CT 06702-2310
Practice Telephone 2035749000
Practice Fax Number 2035749006
Mailing Telephone 2035749000
Mailing Fax Number 2035749006
Enumeration Date 2015-07-09
Last Update Date 2018-05-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
10219 CT Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT ANTHEM BCBS OF CT WELLMORE GRP/FACILITY 060669107 01
CT UBH-CONNECTICARE WELLMORE GRP/FACILITY 060669107 01
CT UBH-UNITED HEALTH CARE WELLMORE GRP/FACILITY 060669107 01
CT VALUE OPTIONS/BEACON HEALTH STRATEGIES D339209 01
CT AETNA BEHAVIORAL HEALTH PENDING 01
CT UNITED BEHAVIORAL HEALTH WELLMORE GRP/FACILITY 060669107 01
CT 008062581 05
CT UBH-OXFORD HEALTH FREEDOM/LIBERTY WELLMORE GRP/FACILITY 060669107 01
CT HEALTHYCT WELLMORE GRP/FACILITY 060669107 01
CT CAQH 13671798 01
CT MHN TRICARE NORTH NOT ELIGIBLE 01
CT CIGNA BEHAVIORAL HEALTH PENDING 01

Other Providers MELISSA BOURQUE

NPI Name Taxonomy Address Enumeration
1962955062 Melissa Nicole Bourque Nurse Practitioner 984 Whittier Hwy, Moultonborough Family Medicine, Moultonborough, NH 03254 2016-07-26
1144327479 Melissa Bourque Pharmacist Togus Vamc, One Va Center (119), Augusta, ME 04330 2006-09-20

Office Location

Street Address 141 E MAIN ST FL 1
City WATERBURY
State CT
Zip Code 06702-2310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437390655 Martin Sinclair Perry Social Worker 141 E Main St Fl 1, Waterbury, CT 06702-2310 2009-03-18
1871092205 Shirley R Bradley I Social Worker 141 E Main St Fl 1, Waterbury, CT 06702-2310 2018-02-12
1710494299 Erica Estrella Social Worker 141 E Main St Fl 1, Waterbury, CT 06702-2310 2018-01-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780120295 Melitza Velez Counselor 80 Prospect St., Waterbury, CT 06702 2017-01-09
1467813600 Ashley Joseph Counselor 30 Holmes Ave, Waterbury, CT 06702 2016-03-16
1649662313 Lori Arens Social Worker 141 E Main St Fl 4, Waterbury, CT 06702 2015-03-04
1265725584 Zelda Shleifer Audiologist 21 W Main St Fl Place-3, Waterbury, CT 06702 2011-05-19
1700024585 Charlene Angela Jurgaitis Durable Medical Equipment & Medical Supplies 102 Grand Street, Waterbury, CT 06702 2009-02-02
1518090570 Nathan Z Imre Pharmacist 161 East Main St Central Pharmacy, Waterbury, CT 06702 2007-03-13
1922149467 Rachael A Petitti Social Worker 402 East Main Street, Waterbury, CT 06702 2007-02-09
1710024484 Abbot Terrace Health Center Assisted Living Facility 44 Abbott Terrace, Waterbury, CT 06702 2007-01-31
1205994555 Michael Arcangel Padilla Social Worker Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 2006-12-05
1205902723 Colette M Anderson Social Worker 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 2006-11-27
Find all providers in zip 06702

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639786072 Cassandra Lynn Manger Social Worker 255 Bank St, Waterbury, CT 06702-2219 2020-09-29
1033720198 Jacqueline A Roscoe Social Worker 115 Kara Dr, Waterbury, CT 06704-1573 2020-08-12
1477195386 Mayte Stephanie Robalino Social Worker 96 Dikeman St, Waterbury, CT 06704-3905 2019-10-11
1144874819 Chantell Paris Social Worker 98 Dikeman St, Waterbury, CT 06704-3905 2019-07-30
1720563976 Aubry Fappiano Social Worker 800 Country Club Rd, Waterbury, CT 06708-3240 2018-10-03
1992209530 Valley Wellness Consulting Group LLC Social Worker 969 W Main Street, Suite 3e, Waterbury, CT 06708 2018-03-20
1093252090 Miranda Jones Social Worker 135 Roseland Ave, Waterbury, CT 06710-1411 2017-01-27
1447792833 Carla L. Guglielmo Social Worker 422 Highland Ave, Waterbury, CT 06708-3443 2016-11-16
1649662313 Lori Arens Social Worker 141 E Main St Fl 4, Waterbury, CT 06702 2015-03-04
1437554573 Megan O'connor Social Worker 203 Eastside Blvd, Waterbury, CT 06706-2847 2014-10-31
Find all providers in WATERBURY

Competitor

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City WATERBURY
Zip Code 06702

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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