Active NPI
Linda S Borders
- Clinical Social Worker
- Fountain Vly, CA
National Provider Identifier
1093282824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW5031
- Practice address
- 11770 Warner Ave Ste 110
Fountain Vly, CA 92708-2659 - Phone
- (714) 381-5412
- NPI assigned
- Oct 30, 2018
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW5031 | CA | Primary |
Addresses
Primary practice location
11770 Warner Ave Ste 110
Fountain Vly, CA 92708-2659
Mailing address
18245 Peters CT
Fountain Valley, CA 92708-5873
Phone (714) 381-5412
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 |
|---|---|---|---|
| LCSW5031 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1093282824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18245 PETERS CT",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085873",
"telephone_number": "714-381-5412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11770 WARNER AVE STE 110",
"city": "FOUNTAIN VLY",
"state": "CA",
"postal_code": "927082659",
"telephone_number": "714-381-5412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDERS",
"first_name": "LINDA",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-30",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW5031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Vly, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.