Marly Kay Borovich Knutson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

176973 Issued in AK

Practice address

1005 S Caulkins St Apt 3
Palmer, AK 99645-9183

Phone

(626) 884-7789

NPI assigned

Dec 20, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mrs. Marly Kay Borovich Torres Former name

Medicare fee-for-service enrollment

Enrolled in HI, AK2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hilo Benioff Medical CenterGroup PAC ID 1254422900, 131 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• HI PPO

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27018/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hilo Benioff Medical Center

  • General Acute Care Hospital
  • Hilo, HI
  • NPI 1962584060
  Medicare reassignment Care Compare group NPD
• Northcraft Counseling and Coaching, LLC

  • Community/Behavioral Health Agency
  • Palmer, AK
  • NPI 1659122885
  NPD Authorized official
• Hilo Benioff Medical Center

  • Anesthesiology Physician
  • Hilo, HI
  • NPI 1235981614
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hilo Benioff Medical Center

  • General Acute Care Hospital
  • Hilo, HI
  • NPI 1780757856
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1003322538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3728",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996453728",
            "telephone_number": "626-884-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 S CAULKINS ST APT 3",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459183",
            "telephone_number": "626-884-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "MARLY",
        "middle_name": "KAY BOROVICH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801102053",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-5243",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "176973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLMSW",
            "identifier": "6801102053",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLY",
            "last_name": "TORRES",
            "middle_name": "KAY BOROVICH",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Knight Counseling and Consultation, LLC
• Deneille Knight
• Knik Physical Therapy PLLC
• Knik Tribe
• Knik Tribe
• Tak Ming Ko, MD
• Ernest Koehrer, M.D.
• Kristine Virginia Koliadko, FNP-BC
• Sarahjean Korthuis
• Nancy Mattie Koval

• Clinical Social Worker in Palmer, AK
• Providers in Palmer, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.