Maritza Bourassa, LCSW

Clinical Social Worker · Groton, CT

Individual Active NPI

NPI number 1326055062

Practice location

481 Gold Star Hwy
Suite 301
Groton, CT 06340-6224
Phone
(860) 448-9755
Fax
(860) 464-2298

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NPI record

NPI
1326055062
Entity type
Individual (Type 1)
Enumeration date
August 2, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 005019 CT

About Maritza Bourassa

Maritza Bourassa, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 481 Gold Star Hwy, Suite 301, Groton, CT 06340-6224. The NPI number 1326055062 was assigned on August 2, 2006 and the record was last updated on July 8, 2007.

Maritza Bourassa lists a license in the registry: #005019 (CT) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Maritza Bourassa, LCSW?

The NPI number is 1326055062.

What is the phone number of Maritza Bourassa?

The phone number listed for the practice location is (860) 448-9755.

Where is Maritza Bourassa located?

481 Gold Star Hwy, Suite 301, Groton, CT 06340-6224.

What is the taxonomy code for Maritza Bourassa?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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