Patrick Boursiquot, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 5848 Issued in FL

Practice address

951 Sansburys Way
Suite 206
West Palm Beach, FL 33411-3619

Phone

(561) 337-3647

Fax

(561) 337-3648

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in FL

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, 1994

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.

• Marriage & Family Services, Inc.

  • Community/Behavioral Health Agency
  • Delray Beach, FL
  • NPI 1265720569
  Medicare reassignment NPD

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1952524258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 SANSBURYS WAY",
            "address_2": "SUITE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334113619",
            "telephone_number": "561-337-3647",
            "fax_number": "561-337-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 SANSBURYS WAY",
            "address_2": "SUITE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334113619",
            "telephone_number": "561-337-3647",
            "fax_number": "561-337-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURSIQUOT",
        "first_name": "PATRICK",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 5848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Sue Bouhadir, MSW, LCSW
• Jessica Bourgeois, CRNA
• Race Elie Bourgeois
• Jolene Bourjolly
• Melpomeni Bourkas
• Abanoub Boutros, DC
• Marianne Boutros, PA-C
• Vivyan Boutros
• Beverly Anne Bowen, DMD
• Tyesha Bowen, AGNP

• Clinical Social Worker in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.