Thomas Michael Borden, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1026166 Issued in MA

Practice address

251 Fenn St
Pittsfield, MA 01201-5269

Phone

(413) 499-0412

NPI assigned

Aug 16, 2018

Last updated

Aug 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Brien Center for Mental Health and Substance Abuse Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsfield, MA
  • NPI 1518984251

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1407336712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2002",
            "city": "PERU",
            "state": "MA",
            "postal_code": "012352002",
            "telephone_number": "413-655-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 FENN ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015269",
            "telephone_number": "413-499-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1026166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Mae Boody, M.A., PSYCH
• Jennifer Boomhower, RD, CSR, CDN
• Kacey Boos
• Dana Boosma, BEHAVIOR TECHNICIAN
• Kimberley L Borden
• Bruno Fernando Borges Da Costa E Silva, M.D.
• Ellen Borquaye
• Emily Borsody, MSW, LICSW
• Jessica Bortolotto
• Taylor Botto, BCBA

• Clinical Social Worker in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.