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Individual
NICOLE BORUSIEWICZ
Active
Individual
NICOLE BORUSIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,LMSW,MSW,BSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
000826
CT
1041C0700X
Clinical Social Worker
Primary
9940
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008065074
—
CT
01
—
060669107
UBH/UNITED HEALTHCARE WELLMORE GRP/FACILITY
CT
01
—
CAQH
13540261
CT
01
—
D339123-141 E MAIN
BEACON HEALTH STRATEGIES
CT
01
—
NOT ELIGIBLE
MHN MANAGED HEALTH NETWORK
CT
01
—
PENDING
CIGNA BEHAVIORAL HEALTH
CT
Enumeration date
10/01/2013
Last updated
03/26/2025
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