Individual provider Active NPI

Liliya Borodkin, LSW, MSW

  • Social Worker
  • Bridgewater, NJ
National Provider Identifier
1285324384
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05590400 Issued in NJ
Practice address
39 Jarman PL
Bridgewater, NJ 08807-5580
Phone
(973) 280-4149
NPI assigned
May 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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 44SL05590400 NJ Primary

Addresses

Primary practice location

39 Jarman PL
Bridgewater, NJ 08807-5580

Mailing address

39 Jarman PL
Bridgewater, NJ 08807-5580
Phone (973) 280-4149

Other names 1

  • Ms. Liliya Tanenbaum Former name

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
44SL05590400NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1285324384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 JARMAN PL",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088075580",
            "telephone_number": "973-280-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 JARMAN PL",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088075580",
            "telephone_number": "973-280-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORODKIN",
        "first_name": "LILIYA",
        "name_prefix": "Ms.",
        "credential": "LSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05590400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIYA",
            "last_name": "TANENBAUM",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.