Individual provider Active NPI

Andrea Lynn Borgatello, LCSW

  • Social Worker
  • Santa Barbara, CA
National Provider Identifier
1285061697
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCS 20359 Issued in CA
Practice address
18 W Micheltorena St
Suite D
Santa Barbara, CA 93101-6527
Phone
(805) 680-1216
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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 LCS 20359 CA Primary

Addresses

Primary practice location

18 W Micheltorena St
Suite D
Santa Barbara, CA 93101-6527

Mailing address

18 W Micheltorena St
Suite D
Santa Barbara, CA 93101-6527
Phone (805) 680-1216

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

LicenseStateTypeSpecialty
LCS 20359CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1285061697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W MICHELTORENA ST",
            "address_2": "SUITE D",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931016527",
            "telephone_number": "805-680-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W MICHELTORENA ST",
            "address_2": "SUITE D",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931016527",
            "telephone_number": "805-680-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGATELLO",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS 20359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.