Yvelande Boursiquot, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

37 Belmont St Ste 203
Brockton, MA 02301-5289

Phone

(774) 381-9648

Fax

(877) 800-9185

NPI assigned

Mar 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Serene Way Therapy & Wellness Center LLC

  • Clinical Social Worker
  • Brockton, MA
  • NPI 1053190553
  Medicare reassignment NPD Authorized official
• Serene Way Home Care LLC

  • Home Health Agency
  • Brockton, MA
  • NPI 1144103474
  NPD Authorized official

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1851858401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PARKVIEW LN",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023021960",
            "telephone_number": "857-247-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BELMONT ST STE 203",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015289",
            "telephone_number": "774-381-9648",
            "fax_number": "877-800-9185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "594 Charles St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029041370",
            "country_code": "US",
            "telephone_number": "774-381-9648",
            "fax_number": "877-800-9185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 Parkview Ln",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023021960",
            "country_code": "US",
            "telephone_number": "857-247-2722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURSIQUOT",
        "first_name": "YVELANDE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": "ISW03309",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "ISW03309",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "223293",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "223293",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Lynn Boucher, RD
• Patricia Boucher, N.P.
• Boucher'S Opticians of Brockton, Inc.
• Jennifer Marie Bouck, BS
• Bricen Boudreault
• Jessica Boutin, MSOTR/L, WCC
• Shelby Bowling
• Taylor Irene Boyce, FNP
• Tara Boyd, BS,CCLS
• Daniel P. Bradley, LICSW

• Clinical Social Worker in Brockton, MA
• Providers in Brockton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.