Kyle Bourque, LISW

NPI: 1124018650

Kyle Bourque, LISW

Q: What is Kyle Bourque's NPI number?

Kyle Bourque's NPI number is 1124018650, a unique 10-digit identifier issued by CMS.

Q: What does Kyle Bourque specialize in?

Kyle Bourque specializes in Social Worker, taxonomy code 104100000X.

Q: Where does Kyle Bourque practice?

Kyle Bourque practices in Fort Drum, NY 13602-5004.

Q: When was Kyle Bourque's NPI issued?

Kyle Bourque's NPI was issued on October 26, 2005.

Q: What is Kyle Bourque's provider type?

Kyle Bourque is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderSocial Worker

NPI issued: October 26, 2005

Quick Facts

NPI Number

1124018650

TypeIndividual

StatusActive

SpecialtySocial Worker

Taxonomy104100000X — Social Worker

Phone

(315) 772-4025

StateNY

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1124018650)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (October 26, 2005)

Data source: CMS NPPES

Provider Overview

KYLE BOURQUE, LISW is a Social Worker provider based in Fort Drum, NY who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1124018650

Provider TypeIndividual Provider

GenderMale

CredentialLISW

StatusActive

Enumeration DateOctober 26, 2005

Practice Location

CityFort Drum

StateNY

ZIP Code13602-5004

Phone(315) 772-4025

Specialties & Licenses

★ Primary

SpecialtySocial Worker

Taxonomy Code104100000X

License StateNY

Mailing Address

CityFort Drum

StateNY

ZIP Code13602-5004

Phone(315) 772-4025

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1124018650 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1124018650for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1124018650 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Social Worker

Clinical Social Workers provide counseling, therapy, and support services to diagnose and treat mental, behavioral, and emotional disorders, often advocating for clients' access to social resources.

Browse all Social Workerproviders →

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145,588

Social Worker Providers in the US