Coty Bourque, LCSW
NPI 1356850960 · Clinical Social Worker · Vicksburg, MS
Coty Bourque, LCSW is a Clinical Social Worker provider in Vicksburg, MS (NPI 1356850960).
Provider details
- NPI number
- 1356850960
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-09-26
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Frequently asked questions
- What is Coty Bourque's NPI number?
- Coty Bourque's National Provider Identifier (NPI) is 1356850960, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Coty Bourque's specialty?
- Coty Bourque is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Coty Bourque located?
- Coty Bourque's practice location on file with NPPES is 1911 Mission 66 Ste B, Vicksburg, MS 39180-3762.
- What is Coty Bourque's phone number?
- The practice phone number listed in the NPPES registry for Coty Bourque is (337) 519-7797.
- Is Coty Bourque's NPI active?
- Yes — Coty Bourque's NPI (1356850960) is active in the NPPES registry as of the last update on 2025-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.