Sandra Lee Borden, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006993 Issued in VA

Practice address

6330 Newtown Rd Ste 300
Norfolk, VA 23502-4805

Phone

(757) 466-1325

Fax

(757) 455-5750

NPI assigned

Nov 25, 2008

Last updated

Feb 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sandra Lee Jenkins Other name

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Chesapeake Psychological Associates, LLCGroup PAC ID 8022155100, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24900/brand/1/csg/1/fhir/r4
• Direct secure messaging: sandra.borden.1@24900.direct.athenahealth.com

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

• Chesapeake Psychological Associates, LLC

  • Clinical Psychologist
  • Chesapeake, VA
  • NPI 1487884102
  Medicare reassignment Care Compare group NPD
• Elizabeth McGinnis LPC LMFT LLC

  • Professional Counselor
  • Chesapeake, VA
  • NPI 1649789983
  NPD (past)
• Genesis Counseling Center, Inc.

  • Professional Counselor
  • Hampton, VA
  • NPI 1164451399

  Clinical

  NPD (past)

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1033364583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 NEWTOWN RD STE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024805",
            "telephone_number": "757-466-1325",
            "fax_number": "757-455-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 NEWTOWN RD STE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024805",
            "telephone_number": "757-466-1325",
            "fax_number": "757-455-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "JENKINS",
            "middle_name": "LEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Taylor Rae Bono, MD
• Jack Booden Jr., C.P.O.
• Johnette Boone, LCSW
• Tracy M Boone, LPN
• Jillian Rose Booth, PA-S
• Dana Marie Borer
• Sangeeta Borkar, FNP-C
• Born Again Ministries (I-Kare Solutions)
• Brandi Borowski, PHARMD
• Stephen M. Borza, RPH

• Clinical Social Worker in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.