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

Individual provider Clinical Social Worker · NPI 1144927401

Shenell Bourne, LCSW is a Clinical Social Worker in Hauppauge, New York. Practices as a sole proprietor. Licensed in Connecticut and New York.

Licensed in
CT, NY
In the registry since
2023
Specialties on file
2
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 PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 13113
Hauppauge, NY 11788-0553
Phone: (347) 494-1222
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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 091252 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 15685 (CT)

Record details

NPI number1144927401
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 7, 2023
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026
Mailing addressPo Box 13113, Hauppauge, NY 11788-0553

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