DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELLY BOURQUIN, LCSW

Active

SHELLY BOURQUIN, LCSW is a Clinical Social Worker healthcare provider located in WAUKESHA, Wisconsin. NPI 1689108250 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · WAUKESHA, WI

Registration Details

NPI Number
1689108250
Provider Type
Individual
Gender
Female
NPI Issued
Apr 20, 2017 (9.2975877085287 yrs)
Last Updated
May 21, 2025
Licenses
130442 (WI)
9229 (WI)

Practice Information

Address
514 RIVERVIEW AVE
WAUKESHA, WI, 531883631
Browse WI providers · Browse ZIP 53188
Phone
2625487666
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in WAUKESHA, WI

Name Credential NPI
MS. KIMBERLEY HOLLANDER FISCHER LCSW 1578554747
MR. ALAN RICHARD JORDAN LCSW 1720008352
DENNIS RODY MSW, LCSW, ACSW 1629099700
ERIN EGAN FALK MSW, LCSW 1962425629
THOMAS SPEAKER PHD, LCSW, CADC III 1366466427
EDWARD L COHEN LCSW 1730292491
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.