Coty Bourque, LCSW
Coty Bourque is a Clinical Social Worker provider (Social Worker) practicing in Vicksburg, MS, registered in the NPPES registry with NPI 1356850960 since 2017. The credential LCSW stands for Licensed Clinical Social Worker.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1356850960 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Coty Bourque |
| Credential | LCSW |
| Sex | Male |
| Practice address | 1911 MISSION 66 STE B, Vicksburg, MS, 39180 |
| Phone | 3375197797 |
| Enumeration date | 2017-09-26 |
| Last updated in NPPES | 2025-05-13 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1041C0700X | Clinical Social Worker | Primary | — | — |
| 101YM0800X | Mental Health Counselor | Secondary | — | — |
LCSW — Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential
Copy-ready billing details
Provider: Coty Bourque, LCSW NPI: 1356850960 Taxonomy: 1041C0700X (Clinical Social Worker) Address: 1911 MISSION 66 STE B, Vicksburg, MS, 39180
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1447359757 | Andrea Watts | Individual | Clinical Social Worker | Vicksburg, MS |
| 1740474915 | Joseph Johnson | Individual | Mental Health Counselor | Vicksburg, MS |
| 1942478144 | Central Mississippi Prevention Services Inc | Organization | Clinical Social Worker | Vicksburg, MS |
| 1649419334 | Lesia Thomas | Individual | Family Nurse Practitioner | Vicksburg, MS |
| 1306126271 | Bonny Saucier | Individual | Nurse Practitioner | Vicksburg, MS |
| 1922374057 | Toni Ladner | Individual | Psychiatric/Mental Health Nurse Practitioner | Vicksburg, MS |
| 1669835310 | Mdb Behavioral Health Services LLC | Organization | Rural Health Clinic/Center | Vicksburg, MS |
| 1396297453 | Lakeitha Turner | Individual | Family Nurse Practitioner | Vicksburg, MS |
Verify this record
Cross-check NPI 1356850960 against the authoritative CMS record: view Coty Bourque on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Coty Bourque?
Where does Coty Bourque practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-05-13.