Amber Borcyk, MSSW LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014566 Issued in NC

Practice address

18 W Colony PL Ste 110-130
Durham, NC 27705-5582

Phone

(919) 819-6082

NPI assigned

Jun 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Harvest Moon Psychotherapy, PLLC

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1942922281
  NPD Authorized official

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591488000000",
    "number": "1376167130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 LONG CREEK LOOP RD",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284578845",
            "telephone_number": "336-423-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W COLONY PL STE 110-130",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055582",
            "telephone_number": "919-819-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORCYK",
        "first_name": "AMBER",
        "credential": "MSSW LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-07",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nechalia Boone
• Richard L. Boortz-Marx, MD
• Laura Booth
• Rama Devi Boppana, ACNP
• Joseph Brian Borawski, MD
• Daquan Raheem Bordeaux
• Martha Schaub Bordeaux, RNC, PNP-BC
• Anna Hong Bordelon, M.D.
• Sarah Elizabeth Border, PSYD
• Magdalene Leigh Bordley, MSW

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.

Verify at the official NPI Registry.