Stacy Bourque-Belt, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09068 Issued in MD

Practice address

9059 Manorwood Rd.
Laurel, MD 20723

Phone

(240) 593-5341

NPI assigned

Feb 3, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 31, 2025 through Mar 31, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Howard County Psychological Services, LLC

  • Clinical Psychologist
  • Ellicott City, MD
  • NPI 1194276279
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1609529114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9059 MANORWOOD RD.",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20723",
            "telephone_number": "240-593-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9059 MANORWOOD RD.",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20723",
            "telephone_number": "240-593-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURQUE-BELT",
        "first_name": "STACY",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford Boswell
• Geneva Boswell
• Adia Boukari
• Sara Bouland
• Jennifer Bourg
• Caroline Boutros
• Shelia Stephanie Bowe-Connor, RPH
• Brianna Boyd
• Dedrie Boykin, LCSW-C
• Willine A Boyo, PHARM D

• Clinical Social Worker in Laurel, MD
• Providers in Laurel, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.