MR. KYLE P BOURQUE LISW
NPI 1124018650
Social Worker in Fort Drum, NY
NPI Status: Active since October 26, 2005
Contact Information
USA MEDDAC ATTN: CREDENTIALS
11050 MT BELVEDERE BLVD
FORT DRUM, NY
ZIP 13602
Phone: (315) 772-4025
Fax: (315) 772-9498
- Individual
- Male
- Social Worker
About KYLE BOURQUE
This page provides the complete NPI Profile along with additional information for Kyle Bourque, a provider established in Fort Drum, New York with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1124018650 assigned on October 2005. The practitioner's primary taxonomy code is 104100000X with license number 04825 (IA). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1124018650
- Provider Name
- MR. KYLE P BOURQUE LISW
- Gender
- Male
- Entity Type
- Individual
- Location Address
- USA MEDDAC ATTN: CREDENTIALS 11050 MT BELVEDERE BLVD FORT DRUM, NY 13602
- Location Phone
- (315) 772-4025
- Location Fax
- (315) 772-9498
- Mailing Address
- USA MEDDAC 11050 MT BELVEDERE BLVD FORT DRUM, NY 13602
- Mailing Phone
- (315) 772-4025
- Mailing Fax
- (315) 772-9498
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-26-2005
- Last Update Date
- 01-24-2022
- Code Navigator
A social worker like Kyle Bourque helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 04825
- License State
- IA
- Taxonomy Description
- 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 0 | 1 | 8 | 6 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 0 | 1 | 16 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 0 + 1 + 1 + 6 + 6 + 1 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1124018650 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427048412 | HEIDI L BOERMAN PA-C, ATC Individual | Physician Assistant | USA MEDDAC ATTN: CREDENTIALS 11050 MT BELVEDERE BLVD FORT DRUM, NY 13602 (315) 772-4025 |
| 1255320206 | MR. ROGER DUANE EAKS LCSW Individual | Social Worker | USA MEDDAC ATTN: CREDENTIALS 11050 MT BELVEDERE BLVD FORT DRUM, NY 13602 (315) 772-4025 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124018650, enumerated in the NPI registry as an "individual" on October 26, 2005
The provider is located at Usa Meddac Attn: Credentials 11050 Mt Belvedere Blvd Fort Drum, Ny 13602 and the phone number is (315) 772-4025
The provider's speciality is Social Worker with taxonomy code 104100000X
This NPI record was last updated on October 26, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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