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NICOLE BOURGOYNE LGSW
NPI 1609693050
Social Worker - Clinical in Duluth, MN

Active since September 25, 2024
4325 GRAND AVE, DULUTH, MN 55807(218) 722-1497(218) 722-6239 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Bourgoyne Lgsw NPPES

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

NICOLE BOURGOYNE LGSW (NPI 1609693050) is an individual clinical provider in Duluth, Minnesota, licensed in Minnesota (32463) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1609693050
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE BOURGOYNECredential: LGSW
Location Address4325 GRAND AVEDuluth, MN 55807-2730
Mailing Address2222 E 5th StSuperior, WI 54880-3709 · (715) 392-1955 · Fax (715) 392-1935
Phone(218) 722-1497
Fax(218) 722-6239
Sole ProprietorYes
Enumeration DateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
✔ NPI 1609693050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 32463
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.
4325 GRAND AVE, Duluth, MN 55807
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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.

MADHURI BASAK RNC
Registered Nurse (Ambulatory Care)
4325 GRAND AVE
DULUTH, MN 55807
St. Louis County (218) 722-1497
ZAYLA ASQUITH-HEINZ LGSW
Social Worker (Clinical)
4325 GRAND AVE
DULUTH, MN 55807
St. Louis County (218) 722-1497
AMY MARXHAUSEN RDH
Dental Hygienist
4325 GRAND AVE
DULUTH, MN 55807
St. Louis County (218) 628-7035
KRAIG ROBERT PETERSON LGSW
Social Worker (Clinical)
4325 GRAND AVE
DULUTH, MN 55807
St. Louis County (218) 722-1497
JULIE L. DEMARTE RDH
Dental Hygienist
4325 GRAND AVE
DULUTH, MN 55807
St. Louis County (218) 628-7035
NICOLE SHOCKLEY CNP
Nurse Practitioner
4325 GRAND AVE
DULUTH, MN 55807
St. Louis County (218) 722-1497
DR. LEILA JINDEEL DDS
Dentist (General Practice)
4325 GRAND AVE
DULUTH, MN 55807
St. Louis County (218) 628-7035
LOUISE AMY HILDE CURNOW PA-C
Physician Assistant
4325 GRAND AVE
DULUTH, MN 55807
St. Louis County (218) 722-1497

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 Bourgoyne's NPI number?

The NPI number for Nicole Bourgoyne is 1609693050. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Where is Nicole Bourgoyne located?

Nicole Bourgoyne practices at 4325 Grand Ave, Duluth, MN 55807. The listed phone number is (218) 722-1497.

What is Nicole Bourgoyne's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Bourgoyne was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.