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NPI · 1124018650 · NPPES-sourced

Mr. Kyle Bourque Lisw

ActiveSocial Worker
NPI Number
1124018650
Type 1 · Individual
Taxonomy Code
104100000X
Contact
(315) 772-4025
License IA · 04825
Last Updated
Enumerated
Primary practice addressNY · 13602-5004
USA Meddac Attn: Credentials, 11050 Mt Belvedere BlvdFort Drum, NY 13602-5004
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About this NPIWhat this record shows.

NPI 1124018650 is registered to Mr. Kyle Bourque Lisw, a Social Worker practising at USA Meddac Attn: Credentials, 11050 Mt Belvedere Blvd in Fort Drum, New York. Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mr. Kyle Bourque Lisw has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mr. Kyle Bourque Lisw accepts. To confirm in-network status with your specific health plan, contact Mr. Kyle Bourque Lisw directly at (315) 772-4025.

Frequently asked

Yes. NPI 1124018650 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (315) 772-4025.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mr. Kyle Bourque Lisw is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy104100000X
Last updated
Enumerated
StatusActive
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2 records · same addressOther providers at this location.

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Same specialtyOther Social Worker providers in New York.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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