Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Laurel Christine Bourgeois, MSSALISW-S, LCSW

Individual provider Clinical Social Worker · NPI 1922724392

Laurel Christine Bourgeois, MSSALISW-S, LCSW is a Clinical Social Worker in Niles, Michigan. Licensed in Indiana, Michigan and Ohio. Registered with an NPI since 2022.

Licensed in
IN, MI, OH
In the registry since
2022
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

30754 Rocking Horse Ln
Niles, MI 49120-5096
Phone: (269) 202-8368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.1901949-SUPV (OH)
Clinical Social Worker Taxonomy 1041C0700X (IN)
Clinical Social Worker Taxonomy 1041C0700X (MI)

Record details

NPI number1922724392
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSALISW-S , LCSW
Sole proprietorNo
NPI enumeratedOctober 17, 2022
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024

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