Active NPI
Geralda Borgard, LMSW
- Social Worker
- Liverpool, NY
National Provider Identifier
1073116364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 103189
- Practice address
- 11 Plantation Blvd
Liverpool, NY 13090-4021 - Phone
- (347) 567-3735
- NPI assigned
- Nov 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 103189 | NY | Primary |
Addresses
Primary practice location
11 Plantation Blvd
Liverpool, NY 13090-4021
Mailing address
11 Plantation Blvd Apt 1
Liverpool, NY 13090-4021
Phone (347) 567-3735
Other practice location 1
417 E German St
Herkimer, NY 13350-1028
Phone (347) 536-9157
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
| License | State | Type | Specialty |
|---|---|---|---|
| 103189 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1073116364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PLANTATION BLVD APT 1",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130904021",
"telephone_number": "347-567-3735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 PLANTATION BLVD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130904021",
"telephone_number": "347-567-3735"
}
],
"practiceLocations": [
{
"address_1": "417 E German St",
"address_purpose": "LOCATION",
"city": "Herkimer",
"state": "NY",
"postal_code": "133501028",
"country_code": "US",
"telephone_number": "347-536-9157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORGARD",
"first_name": "GERALDA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NY",
"license": "103189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.