Individual provider Active NPI

Benjamin Borkan, LCSW

  • Clinical Social Worker
  • Belfast, ME
National Provider Identifier
1043680390
Registry record updated Jun 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC17074 Issued in ME
Practice address
26 Spring St
Belfast, ME 04915-6817
Phone
(207) 370-2454
Fax
(207) 888-2842
NPI assigned
Sep 30, 2015
Last updated
Jun 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC17074 ME Primary

Addresses

Primary practice location

26 Spring St
Belfast, ME 04915-6817

Mailing address

186 Main St N
Searsmont, ME 04973-3410
Phone (207) 370-2454

Other practice location 1

20 Fairfield Hill Rd
Kennebunkport, ME 04046-5222
Phone (800) 588-6898

Other practice location 2

180 Main St
Biddeford, ME 04005-2410
Phone (207) 571-3008

Other practice location 3

75 Congress St Apt 2
Portland, ME 04101-2094
Phone (503) 752-4748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 1, 2026 through Jun 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC17074MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin Borkan LCSW LLC Clinical CurrentSince Oct 1, 2020 Accepting new patients
Cornerstones of Maine Inc. Past Accepting new patients

Locations

26 Spring St
Belfast, ME 04915
Phone (207) 465-5069

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624060800000",
    "number": "1043680390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MAIN ST N",
            "city": "SEARSMONT",
            "state": "ME",
            "postal_code": "049733410",
            "telephone_number": "207-370-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SPRING ST",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156817",
            "telephone_number": "207-370-2454",
            "fax_number": "207-888-2842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Fairfield Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Kennebunkport",
            "state": "ME",
            "postal_code": "040465222",
            "country_code": "US",
            "telephone_number": "800-588-6898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Main St",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040052410",
            "country_code": "US",
            "telephone_number": "207-571-3008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Congress St Apt 2",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041012094",
            "country_code": "US",
            "telephone_number": "503-752-4748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORKAN",
        "first_name": "BENJAMIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-30",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

Verify at the official NPI Registry.