Individual provider Active NPI

Brittany Bordonaro, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1326611633
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50079422 Issued in DC
Practice address
880 New Jersey Ave SE Unit 1107
Washington, DC 20003-3768
Phone
(703) 887-0951
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50079422 DC Primary

Addresses

Primary practice location

880 New Jersey Ave SE Unit 1107
Washington, DC 20003-3768

Mailing address

880 New Jersey Ave SE Unit 1107
Washington, DC 20003-3768
Phone (703) 887-0951

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Washington

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
LC50079422DCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1326611633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 NEW JERSEY AVE SE UNIT 1107",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033768",
            "telephone_number": "703-887-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 NEW JERSEY AVE SE UNIT 1107",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033768",
            "telephone_number": "703-887-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDONARO",
        "first_name": "BRITTANY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Washington",
            "affiliation": "N",
            "address_1": "880 New Jersey Ave SE Unit 1107",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200033768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.