NICOLE BORUSIEWICZ LCSW,LMSW,MSW,BSW
NPI 1043647373
Social Worker - Clinical in Waterbury, CT

Q: What is Nicole Borusiewicz's NPI number?

The NPI number for Nicole Borusiewicz is 1043647373. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Q: What is Nicole Borusiewicz's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since October 01, 2013PECOS EnrolledAccepts Medicare Assignment

141 E MAIN ST, 3RD FLOOR-HOME BASED SERVICES, WATERBURY, CT 06702(203) 574-9000(203) 574-9006 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nicole Borusiewicz Lcsw,lmsw,msw,bsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE BORUSIEWICZ LCSW,LMSW,MSW,BSW (NPI 1043647373) is an individual clinical provider in Waterbury, Connecticut, licensed in Connecticut (9940) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2014).

NPPES Registry Identity

NPI1043647373

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNICOLE BORUSIEWICZCredential: LCSW,LMSW,MSW,BSW

Location Address141 E MAIN ST, 3RD FLOOR-HOME BASED SERVICESWaterbury, CT 06702-2310

Mailing Address141 E Main St, 4th Floor AdministrationWaterbury, CT 06702-2310 · (203) 574-9000 · Fax (203) 574-9006

Phone(203) 574-9000

Fax(203) 574-9006

Sole ProprietorNo

Medical School CMSFordham University School Of MedicineGraduated 2014

Enumeration DateOctober 1, 2013

Last NPPES UpdateMarch 26, 2025

NPPES CertifiedMarch 26, 2025

✔ NPI 1043647373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CT · 9940

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License 000826 (CT)

141 E MAIN ST, Waterbury, CT 06702

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Other Identifiers 13

Other060669107CT · Ubh/united Healthcare Wellmore Grp/facility

Other060669107CT · Ubh-connecticare Wellmore Grp/facility

Other060669107CT · Anthem Bcbs Of Ct Wellmore Grp/facility

OtherD339123-141 E MAINCT · Beacon Health Strategies

Medicaid008065074CT

Other060669107CT · Ubh/oxford Freedom/liberty Wellmore Grp/facility

OtherCAQHCT · 13540261

Other060669107CT · Healthyct Wellmore Grp/facility

OtherPENDINGCT · Cigna Behavioral Health

Other060669107CT · Optum Behavioral Health Wellmore Grp/facility

Other060669107CT · Aetna Behavioral Health

OtherNOT ELIGIBLECT · Mhn Managed Health Network

OtherNOT ELIGIBLECT · Mhn Tricarenorth

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Borusiewicz Lcsw,lmsw,msw,bsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597028761

PECOS Enrollment IDI20180423000554

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Nicole Borusiewicz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Staywell Health Care, Inc.

0.3 mi

Family Medicine

80 PHOENIX AVE
Waterbury, CT 06702

Reassigned Medicare billing, Connecticut enrollment
97 clinicians in this Medicare group

NPI 1154342335 (203) 756-8021

Wellmore, Inc.

0.3 mi

Adolescent and Children Mental Health

141 E MAIN ST
Waterbury, CT 06702

Reassigned Medicare billing, Connecticut enrollment
18 clinicians in this Medicare group

NPI 1841379013 (203) 756-7287

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $60.82 – $183.10

Typical copayment $0.00 (range $15.20 – $45.77)

Most-billed visit code NA

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYCO FOY MS

Counselor (Mental Health)

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 574-9000

DANIELLE DAVENPORT BA

Community Health Worker

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 574-9000

JACQUELINE HOFLER

Community Health Worker

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 574-9000

FATOU K TOURE

Social Worker

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 574-9000

MARDEA ZOR MSW

Counselor

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 574-9000

KEMAR BAILEY BA

Counselor (Mental Health)

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 575-0466

ERIN HERB

Student in an Organized Health Care Education/Training Program

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 574-9000

SUSAN BROADUS

Counselor

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 574-9000

ELAINE MERO

Community Health Worker

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 574-9000

ALEXUS MORIN

Student in an Organized Health Care Education/Training Program

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 574-9000

MELINDA MARIE HARDY MSW,BS,LMSW

Social Worker

141 E MAIN ST, WATERBURY CLINICAL SERVICES 2ND FLR
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 756-7287

LINDA CEDARBAUM

Community Health Worker

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 574-9000

JAKE H. POET

Student in an Organized Health Care Education/Training Program

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 574-9000

TALISHA JONES MA,BA

Community Health Worker

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 574-9000

NEXCY RODRIGUEZ RIVERA BA

Case Manager/Care Coordinator

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 574-9000

MARIA PAPAPANOS BA

Counselor

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 574-9000

SANDRA WILLIAMS

Community Health Worker

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 574-9000

MALIKIA JONES

Student in an Organized Health Care Education/Training Program

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 574-9000

KIM M SCHILLING

Student in an Organized Health Care Education/Training Program

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 574-9000

DANIEL BETANCOURT

Student in an Organized Health Care Education/Training Program

141 E MAIN ST
WATERBURY, CT 06702

Naugatuck Valley Planning Region (203) 574-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Borusiewicz's NPI number?

The NPI number for Nicole Borusiewicz is 1043647373. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Where is Nicole Borusiewicz located?

Nicole Borusiewicz practices at 141 E Main St 3rd Floor-Home Based Services, Waterbury, CT 06702. The listed phone number is (203) 574-9000.

What is Nicole Borusiewicz's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Nicole Borusiewicz enrolled in Medicare?

Yes. Nicole Borusiewicz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicole Borusiewicz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Borusiewicz reassigns Medicare benefits to 2 organizations: Staywell Health Care, Inc. (Waterbury, CT) and Wellmore, Inc. (Waterbury, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Borusiewicz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Borusiewicz was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.