Susan B Borstein, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I 4477 Issued in OH

Practice address

355 W Prospect Rd
Suite 102
Ashtabula, OH 44004-5830

Phone

(440) 998-7541

Fax

(440) 998-7541

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063422418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 W PROSPECT RD",
            "address_2": "SUITE 102",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045830",
            "telephone_number": "440-998-7541",
            "fax_number": "440-998-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W PROSPECT RD",
            "address_2": "SUITE 102",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045830",
            "telephone_number": "440-998-7541",
            "fax_number": "440-998-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORSTEIN",
        "first_name": "SUSAN",
        "middle_name": "B",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 4477",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "214947",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4460062",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "62-53847",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COM PSYCH",
            "identifier": "222904",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "35795",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9094234",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BLUE SH",
            "identifier": "000000221309",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE BEHAVIORAL HE",
            "identifier": "71099",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eligio Bonilla
• Jaqcara Boomhower-Williams
• Nicole Christine Booth, CDCA
• Allison Renee Borcicky, L.P.N.
• Courtney Dean Borruso, DO
• Jennifer Bosch
• Marshae Bowens
• Christie L. Bowyer, LPN
• Kimberly Lynn Boyd, LISW
• Amanda Kathleen Brace, LPCC-S, M.ED

• Clinical Social Worker in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.