Kyle P Bourque , LISW
Social Worker β’ Fort Drum, NY
Usa Meddac Attn: Credentials, 11050 Mt Belvedere Blvd
Fort Drum, NY 136025004
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
Usa Meddac Attn: Credentials
11050 Mt Belvedere Blvd
Fort Drum, NY 136025004
What Public CMS Data Show
Social Worker: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Fort Drum and New York
29 active clinicians are listed under Social Worker with a practice address in Fort Drum, NY (23,576 in New York).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Fort Drum
0% of these 29 clinicians have the CMS telehealth indicator.
3.4% of these 29 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-01-18NUCC Taxonomy Code: 104100000X
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.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant - Medical
Physician Assistant
Physical Therapist
Doctor of Physical Therapy
Emergency Medicine
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant - Medical
Physician Assistant (Certified)
Emergency Medicine
Doctor of Medicine (M.D.)
Physician Assistant - Medical
APAC
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at USA MEDDAC, 11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602 (Tel: 3157724025)
Social Worker (license number reported to NPPES: IA 04825)
NPI status registered as active in NPPES database
Registered at USA MEDDAC ATTN: CREDENTIALS, 11050 MT BELVEDERE BLVD, FORT DRUM, NY 136025004 (Tel: 3157724025)
Registered at USA MEDDAC ATTN: CREDENTIALS, 11050 MT BELVEDERE BLVD, FORT DRUM, NY 136025004 (Tel: 3157724025)
Recorded as KYLE BOURQUE, LISW
Social Worker (license number reported to NPPES: IA 04825)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
Usa Meddac, 11050 Mt Belvedere Blvd
Fort Drum, NY 13602
Phone: 3157724025