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

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: August 02, 2026.

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, and ordering and referring status from the CMS PECOS system.

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.

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

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.

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 16 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.