Kyle Bourque, LISW
Social Worker · Fort Drum, NY
Kyle Bourque, LISW is a social worker with a practice address in Fort Drum, New York, and NPI 1124018650, issued on Oct 26, 2005. Check the license with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kyle Bourque
- Credential
- LISW
- Primary taxonomy
- Social Worker 104100000X
- License number
- 04825 IA
Self-reported in NPPES; status is on the state search - Practice location
- USA Meddac Attn: Credentials, Fort Drum, NY 13602
- Phone
- (315) 772-4025
- Enumerated
- Oct 26, 2005
- Entity
- Type 1 · individual
Also registered at USA Meddac Attn: Credentials
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Heidi Boerman, PA-C, ATCPhysician Assistant1427048412
- Roger Eaks, LCSWSocial Worker1255320206
- James Miller, MSWClinical Social Worker1629051545
Verify Kyle Bourque in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
23 social worker records list a Fort Drum practice address
They are 23 of the 471 NPPES records with a Fort Drum practice address, and 24,800 social worker records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 23 in Fort Drum → All 24,800 in New York → Every provider in Fort Drum →
Other social worker records in New York
- Sheila AagnerNew York, NY1801720784
- Desiree AaronBronx, NY1851277875
- Joy Aaron, LMSWAlbany, NY1295376192
- Shawna Marie Aarons-Cooke, LCSWNew Rochelle, NY1700060076
- Fay Aaronson, LCSW-RMargaretville, NY1710253224
- Iliana Abad, LMSWBrooklyn, NY1427328194
- Samantha AbadNew York, NY1831948561
- Angelyse Abalco, LMSWSmithtown, NY1083255251
- Nicola Abbadessa, LCSWRego Park, NY1235239310
- Fadhil AbbasBuffalo, NY1588222418
Common questions
What is Kyle Bourque, LISW's NPI number?
Kyle Bourque, LISW's National Provider Identifier (NPI) is 1124018650, issued on Oct 26, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Kyle Bourque, LISW located?
The NPPES record lists a practice address at USA Meddac Attn: Credentials, Fort Drum, NY, 13602. Phone: (315) 772-4025. Providers update this record themselves, so call before visiting.
How can I verify Kyle Bourque, LISW's license?
Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.