NPPES file of Aug 9, 2026

Coty Bourque, LCSW

Clinical Social Worker · Vicksburg, MS

Coty Bourque, LCSW is a clinical social worker with a practice address in Vicksburg, Mississippi, and NPI 1356850960, issued on Sep 26, 2017. Check the license with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1356850960
Name
Coty Bourque
Credential
LCSW
Primary taxonomy
Clinical Social Worker 1041C0700X
Practice location
1911 Mission 66 Ste B, Vicksburg, MS 39180
Phone
(337) 519-7797
Enumerated
Sep 26, 2017
Record last updated
May 13, 2025
Medicare enrollment
Enrolled (PECOS I20221118001570); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 1911 Mission 66 Ste B

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Anna Adcock, LCSWClinical Social Worker1033866835
  2. Kathleen Chappelear, LCSWClinical Social Worker1033872635
  3. Donald Dearman, NURSE PRACTITIONERPsychiatric/Mental Health Nurse Practitioner1679084024
  4. Cora Jackson, DSW, LCSW, ACSWClinical Social Worker1689488876
  5. Joseph Johnson, LPC, LSW,NCCMental Health Counselor1740474915
  6. Angela Jones, FNPFamily Nurse Practitioner1396245056

Verify Coty Bourque in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Mississippi board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Mississippi license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Bills Medicare through one group practice

  1. Mdb Behavioral Health Services LLCVicksburg, MS

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

14 clinical social worker records list a practice address in Vicksburg

They are 14 of the 708 NPPES records with a practice address in Vicksburg, and 1,028 clinical social worker records in Mississippi.

Other clinical social worker records in Mississippi

  1. Jesse Adams, LCSWWater Valley, MS1447485636
  2. Laura Adams, LCSWBrookhaven, MS1861860777
  3. Anna Adcock, LCSWVicksburg, MS1033866835
  4. Arin Adkins, LCSWJackson, MS1225498256
  5. Akosua Aggrey-BekoeOlive Branch, MS1861356503
  6. Nakimia Agnew, LCSWTupelo, MS1184976557
  7. Christy Ainsworth, LCSWMadison, MS1942963822
  8. Rachel Alcorn, LCSWOxford, MS1093089526
  9. Ronda Aldridge, LCSWYazoo City, MS1720280126
  10. Stacey Aldridge, LCSWRidgeland, MS1932743176

Common questions

What is Coty Bourque, LCSW's NPI number?

Coty Bourque, LCSW's National Provider Identifier (NPI) is 1356850960, issued on Sep 26, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Coty Bourque, LCSW located?

The NPPES record lists a practice address at 1911 Mission 66 Ste B, Vicksburg, MS, 39180. Phone: (337) 519-7797. Providers update this record themselves, so call before visiting.

How can I verify Coty Bourque, LCSW's license?

Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.