Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordin Leigh Bourque, LMSW

Individual provider Mental Health Counselor · NPI 1861155780

Jordin Leigh Bourque, LMSW is a Clinical Social Worker in Phoenix, Arizona. Qualified in 2018, 8 years ago. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2021
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

3943 W Griswold Rd
Phoenix, AZ 85051-4633
Phone: (928) 925-5251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LMSW-18617 (AZ)
Mental Health Counselor Taxonomy 101YM0800X (AZ)

Record details

NPI number1861155780
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedOctober 18, 2021
Last updated in NPPESOctober 18, 2021
Certification dateOctober 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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