Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mikala Dawn Bousquet, LCSW

Individual provider Clinical Social Worker · NPI 1073972535

Mikala Dawn Bousquet, LCSW is a Clinical Social Worker in Scarborough, Maine. Qualified in 2015, 11 years ago. Works from 2 locations. Licensed in Maine.

Years since qualifying
11
Licensed in
ME
In the registry since
2016
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

100 Campus Dr Unit 121
Scarborough, ME 04074-7172
Phone: (207) 396-7788
Fax: (207) 396-7525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 329 Bath Rd, Brunswick, ME 04011-2673 — (800) 434-3000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC18331 (ME)

Record details

NPI number1073972535
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 12, 2016
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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