IndividualActive
Alex Bourque, LCSW
NPI 1245078146 · Clinical Social Worker · Baton Rouge, LA
Provider details
- NPI number
- 1245078146
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 15404 (LA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
8752 Quarters Lake Rd.
Bldg. 9
Baton Rouge, LA 70809
Phone: (225) 922-9122
Fax: (225) 922-9125
Approximate (ZIP-level) locationGet directions
Mailing address
8752 Quarters Lake Rd.
Baton Rouge, LA 70809
Registry dates
- Enumerated
- 2024-07-16
- Last updated
- 2024-10-23
- Certified
- 2024-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.