Individual provider · Type 1 NPI
Kyle P. Bourque, LISW
Social Worker · Fort Drum, NY
Practice location
Usa Meddac Attn: Credentials, 11050 Mt Belvedere Blvd
Fort Drum, NY 13602-5004
Fax (315) 772-9498
Mailing address
Usa Meddac, 11050 Mt Belvedere Blvd
Fort Drum, NY 13602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker Primary | 104100000X | 04825 (IA) |
Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
2 other providers at this address
Other social worker providers in Fort Drum
- Jeffrey Morgan Cox, LICSWSocial Worker Fort Drum, NY NPI 1013117928
- Dusten Green, DSW, LCSW, CASACSocial Worker Fort Drum, NY NPI 1053857318
- Angela Matthews, LCSWSocial Worker Fort Drum, NY NPI 1144770637
- Amy E. Sovocool, LCSWSocial Worker Fort Drum, NY NPI 1174087480
- Erin Elise RiederSocial Worker Fort Drum, NY NPI 1215501945
- Roger Duane Eaks, LCSWSocial Worker Fort Drum, NY NPI 1255320206
- Daniel J. Dodge, LCSWRSocial Worker Fort Drum, NY NPI 1265553317
- Bethany Lyn Northrop, LCSWSocial Worker Fort Drum, NY NPI 1306279211
About NPI 1124018650
Kyle P. Bourque, LISW's National Provider Identifier is 1124018650, issued on Oct 26, 2005. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Fort Drum, NY. The record was last updated on Jan 24, 2022.