Individual provider Active NPI

Kimberly Borjon, MSW

  • Social Worker
  • East Stroudsburg, PA
National Provider Identifier
1275357337
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
529 Seven Bridge Rd
East Stroudsburg, PA 18301-7608
Phone
(602) 828-8581
NPI assigned
Nov 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X PA Primary

Addresses

Primary practice location

529 Seven Bridge Rd
East Stroudsburg, PA 18301-7608

Mailing address

1187 Manzanedo Rd
East Stroudsburg, PA 18302-7736
Phone (602) 828-8581

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

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1275357337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 MANZANEDO RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183027736",
            "telephone_number": "602-828-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 SEVEN BRIDGE RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017608",
            "telephone_number": "602-828-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORJON",
        "first_name": "KIMBERLY",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.