Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KYLE P BOURQUE, LISW
ActiveMR. KYLE P BOURQUE, LISW is a Social Worker healthcare provider located in FORT DRUM, New York. NPI 1124018650 is currently active in the NPPES registry. Verify at CMS.
Social Worker · FORT DRUM, NY
Registration Details
- NPI Number
- 1124018650
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2005 (20.618379960316 yrs)
- Last Updated
- Jan 24, 2022
- License
-
04825 (IA)
Practice Information
- Address
-
USA MEDDAC ATTN: CREDENTIALS11050 MT BELVEDERE BLVDFORT DRUM, NY, 136025004Browse NY providers · Browse ZIP 13602
- Phone
- 3157724025
- Fax
- 3157729498
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in FORT DRUM, NY
| Name | Credential | NPI |
|---|---|---|
| MR. ROGER DUANE EAKS | LCSW | 1255320206 |
| MRS. JACQUELINE L BUCCI | MSSW | 1538159512 |
| MR. JAMES RICHARD MILLER | MSW | 1629051545 |
| MR. STEVEN JOSEPH SCARLATA | LCSW-R | 1992766406 |
| MRS. CATHERINE PADRON | L.C.S.W. | 1619018728 |
| MR. DANIEL J DODGE | LCSWR | 1265553317 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.