Michel Bordeau, MA, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006489 Issued in GA

Practice address

968 Summit LN # 1042
Ellijay, GA 30540-8728

Phone

(404) 798-9799

NPI assigned

Apr 16, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Generative Therapy Center LLC

  • Community/Behavioral Health Agency
  • Ellijay, GA
  • NPI 1861976144
  Medicare reassignment Authorized official
• Highland Rivers Community Service Board

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1447256243
  Medicare reassignment NPD
• Highland Rivers CSB

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1164585543
  NPD
• Highland Rivers CSB

  • Community/Behavioral Health Agency
  • Calhoun, GA
  • NPI 1912060088
  NPD

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1215324397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 SUMMIT LN # 1042",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305408728",
            "telephone_number": "404-798-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 SUMMIT LN # 1042",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305408728",
            "telephone_number": "404-798-9799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "968 Summit Ln # 1042",
            "address_purpose": "LOCATION",
            "city": "Ellijay",
            "state": "GA",
            "postal_code": "305408728",
            "country_code": "US",
            "telephone_number": "404-798-9799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORDEAU",
        "first_name": "MICHEL",
        "credential": "MA, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Georgia, Inc.
• Lesley Ann Bishop
• Blue Ridge Mountain Internal Medicine PC
• Blue Ridge Vision, Inc.
• Leigh F. Bolton, RPH
• Theresa Bowman
• Brittany Renel Brown
• Sheree Brown
• Bryant Physical Therapy
• Larry P Bryant, PT

• Clinical Social Worker in Ellijay, GA
• Providers in Ellijay, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.