Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609196237 Individual Practitioner Female Practitioner

Selby Shields Bourne , MSW, LICSW

Social Worker - Clinical • Centerville, MA

Professional Overview & Biography Verified Profile Summary

Selby Bourne, MSW, LICSW is a registered healthcare professional specializing in Social Worker - Clinical in Centerville, MA. Practice services are available at 889 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

889 W Main St
Suite C.

Centerville, MA 026323067

Telephone 5087712402
Associated Practice Facility / Clinic
🏢 Justice Resource Institute Facility NPI 1194028290

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Centerville, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.5 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
17 Specialists

Practicing in Centerville, MA (18329 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-25
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License MA 119067

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Courtney Beauchamp

Behavior Analyst

NPI 1033440383
Carlos Negron

Case Management

NPI 1033613450
Tanya Grady

Community Health Worker

NPI 1073229886
Heidi Korinko , MA

Counselor - Mental Health

NPI 1104142694

Master of Arts

Caitlin Mcconnell , BS

Behavior Analyst

NPI 1154664092

Bachelor of Science

Marlene Pinskypanish

Counselor - Mental Health

NPI 1215352083

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address March 27, 2024

Registered at COASTAL WELLNESS, LLC, 105 WEBSTER ST. SUITE 5, HANOVER, MA 02339 (Tel: 5083602811)

👤
Provider Name / Credentials Updated March 27, 2024

Recorded as SELBY BOURNE, MSW, LICSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2024

Social Worker (License #119067 in MA)

NPI Profile Active June 05, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2010

Registered at 889 W MAIN ST, SUITE C., CENTERVILLE, MA 026323067 (Tel: 5087712402)

📍
Updated Business Mailing Address June 05, 2010

Registered at 889 W MAIN ST, SUITE C., CENTERVILLE, MA 026323067

👤
Provider Name / Credentials Updated June 05, 2010

Recorded as SELBY NICKERSON, B.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2010

Social Worker

🟢
Initial NPI Registration & Enumeration June 05, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609196237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2010
Last Update: March 27, 2024
Sole Proprietor: No

Mailing Address

Coastal Wellness, Llc, 105 Webster St. Suite 5

Hanover, MA 02339

Phone: 5083602811

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.