Individual provider Active NPI

Debra Borden, LCSW

  • Clinical Social Worker
  • Mahwah, NJ
National Provider Identifier
1053540229
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
NJ44SC04733800 Issued in NJ
Practice address
1 International Blvd
Suite 400
Mahwah, NJ 07495-0027
Phone
(877) 446-9687
Fax
(201) 934-1471
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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 NJ44SC04733800 NJ Primary

Addresses

Primary practice location

1 International Blvd
Suite 400
Mahwah, NJ 07495-0027

Mailing address

1 International Blvd
Suite 400
Mahwah, NJ 07495-0027
Phone (877) 446-9687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NJ44SC04733800NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1053540229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INTERNATIONAL BLVD",
            "address_2": "SUITE 400",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074950027",
            "telephone_number": "877-446-9687",
            "fax_number": "201-934-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INTERNATIONAL BLVD",
            "address_2": "SUITE 400",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074950027",
            "telephone_number": "877-446-9687",
            "fax_number": "201-934-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "DEBRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "NJ44SC04733800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.