Individual provider Active NPI

Sarah Randolph Borlo, LCSW

  • Clinical Social Worker
  • Danbury, CT
National Provider Identifier
1336668144
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008507 Issued in CT
Practice address
72 North St
Danbury, CT 06810-5648
Phone
(203) 272-1234
NPI assigned
Sep 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

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 008507 CT Primary

Addresses

Primary practice location

72 North St
Danbury, CT 06810-5648

Mailing address

72 North St
Danbury, CT 06810-5648
Phone (203) 272-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20190206003030 CT Practitioner - Clinical Social Worker 0143568782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adolescent and Family Counseling Center, LLC 4 clinicians

Practice addresses (Care Compare)

72 N St
Suite 205
Danbury, CT 06810-5653
Phone (203) 790-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008507CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Adolescent & Family Counseling Center, LLC Clinical CurrentSince Nov 7, 2018 Accepting new patients

Locations

350 S Main St
Cheshire, CT 06410
Phone (203) 271-1234

72 North St
Ste 205
Danbury, CT 06810
Phone (203) 790-1234

72 North St
Danbury, CT 06810
Phone (203) 748-1200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505174400000",
    "number": "1336668144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 NORTH ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105648",
            "telephone_number": "203-272-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 NORTH ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105648",
            "telephone_number": "203-272-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORLO",
        "first_name": "SARAH",
        "middle_name": "RANDOLPH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.