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

Individual provider Social Worker · NPI 1851858401

Yvelande Boursiquot, LICSW is a Clinical Social Worker in Brockton, Massachusetts. Qualified in 2017, 9 years ago. Works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Rhode Island.

Years since qualifying
9
Licensed in
MA, RI
In the registry since
2019
Specialties on file
5
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

37 Belmont St Ste 203
Brockton, MA 02301-5289
Phone: (774) 381-9648
Fax: (877) 800-9185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 37 Parkview Ln, Brockton, MA 02302-1960 — (857) 247-2722
  • 594 Charles St, Providence, RI 02904-1370 — (774) 381-9648

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Social Worker Taxonomy 104100000X · Licence ISW03309 (RI)
Mental Health Counselor Taxonomy 101YM0800X · Licence ISW03309 (RI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 223293 (MA)
Social Worker Taxonomy 104100000X · Licence 223293 (MA)

Record details

NPI number1851858401
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 1, 2019
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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