Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nancy Anne Bourque, LCSW

Individual provider Clinical Social Worker · NPI 1629370820

Nancy Anne Bourque, LCSW is a Clinical Social Worker in New York, New York. Qualified in 2004, 22 years ago. Practices as a sole proprietor and offers telehealth. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2010
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

258 Riverside Dr #2A
New York, NY 10025-6156
Phone: (212) 865-4176
Fax: (212) 865-4176
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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 077438 (NY)

Record details

NPI number1629370820
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 22, 2010
Last updated in NPPESNovember 22, 2010

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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