Active NPI
Christina Borgman, MSW
- Social Worker
- Carmichael, CA
National Provider Identifier
1174639421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW 17714
- Practice address
- 5030 El Camino Ave
Carmichael, CA 95608-4650 - Phone
- (916) 609-4980
- NPI assigned
- Aug 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | ASW 17714 | CA | Primary |
Addresses
Primary practice location
5030 El Camino Ave
Carmichael, CA 95608-4650
Mailing address
PO Box 701
Pleasant Grove, CA 95668-0701
Phone (916) 655-3960
Other names 1
- Tina Borgman
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 |
|---|---|---|---|
| ASW 17714 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174639421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 701",
"city": "PLEASANT GROVE",
"state": "CA",
"postal_code": "956680701",
"telephone_number": "916-655-3960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5030 EL CAMINO AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956084650",
"telephone_number": "916-609-4980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORGMAN",
"first_name": "CHRISTINA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW 17714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TINA",
"last_name": "BORGMAN",
"credential": "MSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Carmichael, CA
Sources for this page
- 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.