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

Nicole Bourgoyne, LGSW

Individual provider Clinical Social Worker · NPI 1609693050

Nicole Bourgoyne, LGSW is a Clinical Social Worker in Duluth, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024

Practice location Address checks out

4325 Grand Ave
Duluth, MN 55807-2730
Phone: (218) 722-1497
Fax: (218) 722-6239
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 32463 (MN)

Record details

NPI number1609693050
Entity typeIndividual (Type 1)
GenderFemale
Credentials LGSW
Sole proprietorYes
NPI enumeratedSeptember 25, 2024
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

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