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Contact Information

NICOLE BORUSIEWICZ, LCSW,LMSW,MSW,BSW
141 E MAIN ST
3RD FLOOR-HOME BASED SERVICES
WATERBURY, CT06702-2310
 Phone: 203-574-9000
 Fax: 203-574-9006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for NICOLE BORUSIEWICZ · (Female)

NPI Number 1043647373
Status Active
Credentials LCSW,LMSW,MSW,BSW
Entity Individual
Enumeration date 10/01/2013
Last updated 03/26/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CT License # 000826
  • CT License # 9940
  • CT Medicaid 008065074
  • CT Other CAQH 13540261
  • CT Other 060669107 AETNA BEHAVIORAL HEALTH
  • CT Other 060669107 ANTHEM BCBS OF CT WELLMORE GRP/FACILITY
  • CT Other D339123-141 E MAIN BEACON HEALTH STRATEGIES
  • CT Other PENDING CIGNA BEHAVIORAL HEALTH
  • CT Other 060669107 HEALTHYCT WELLMORE GRP/FACILITY
  • CT Other NOT ELIGIBLE MHN MANAGED HEALTH NETWORK
  • CT Other NOT ELIGIBLE MHN TRICARENORTH
  • CT Other 060669107 OPTUM BEHAVIORAL HEALTH WELLMORE GRP/FACILITY
  • CT Other 060669107 UBH-CONNECTICARE WELLMORE GRP/FACILITY
  • CT Other 060669107 UBH/OXFORD FREEDOM/LIBERTY WELLMORE GRP/FACILITY
  • CT Other 060669107 UBH/UNITED HEALTHCARE WELLMORE GRP/FACILITY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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