Active NPI
Sheryl Borka
- Clinical Social Worker
- Faribault, MN
National Provider Identifier
1376026989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20226
- Practice address
- 100 State Ave
Faribault, MN 55021 - Phone
- (507) 334-3921
- NPI assigned
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20226 | MN | Primary |
Addresses
Primary practice location
100 State Ave
Faribault, MN 55021
Mailing address
2575 Harvest LN
Owatonna, MN 55060-4305
Other practice location 1
410 Central Ave N
Faribault, MN 55021-5217
Phone (507) 446-0431
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20226 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fernbrook Family Center, Inc | Past | Accepting new patients | |
| Fernbrook Family Center, Inc | Past | Accepting new patients |
Interoperability endpoints
- sborka470066@excellian.direct.allina.com
Organizations & group practices 2
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.
-
- Case Management Agency
- Faribault, MN
- NPI 1083537781
-
- Social Worker
- Owatonna, MN
- NPI 1659483915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577836800000",
"number": "1376026989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 HARVEST LN",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550604305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 STATE AVE",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "55021",
"telephone_number": "507-334-3921"
}
],
"practiceLocations": [
{
"address_1": "410 Central Ave N",
"address_purpose": "LOCATION",
"city": "Faribault",
"state": "MN",
"postal_code": "550215217",
"country_code": "US",
"telephone_number": "507-446-0431",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORKA",
"first_name": "SHERYL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2020-01-01",
"certification_date": "2020-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "20226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Faribault, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.