Laurel Christine Bourgeois, MSSA LISW-S,LCSW
NPI 1922724392ActiveIndividual· Social Worker, Clinical· Niles, MI
Social Worker, Clinical (MSSA LISW-S,LCSW) in Niles, Michigan, licensed in OH, with an NPI issued in October 2022. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1922724392 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSSA LISW-S,LCSW |
| Sole proprietor | No |
| NPI issued | Oct 17, 2022 |
| Last updated in NPPES | Aug 21, 2024 |
| Certified by provider | Aug 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | I.1901949-SUPV | OH |
| Social Worker, Clinical | 1041C0700X | — | IN |
| Social Worker, Clinical | 1041C0700X | — | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (IN); Practitioner - Clinical Social Worker (MI); Practitioner - Clinical Social Worker (OH) |
|---|
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