Katherine Mary Bortniak, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW19036 Issued in PA

Practice address

7731 N Military TRL
Suite #4
West Palm Beach, FL 33410-7430

Phone

(561) 244-9499

NPI assigned

Jun 10, 2016

Sex

Female

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 and National Provider Directory roles.

• Center for Child Counseling, Inc

  • Community/Behavioral Health Agency
  • West Palm Beach, FL
  • NPI 1518305747
  NPD (past)

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1427407261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VILLAGE BLVD APT 906",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092847",
            "telephone_number": "561-704-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7731 N MILITARY TRL",
            "address_2": "SUITE #4",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334107430",
            "telephone_number": "561-244-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTNIAK",
        "first_name": "KATHERINE",
        "middle_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW19036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lazaro Borges
• Teresa De Jesus Borrego Herrera
• Alberto Borrego Iglesias
• Claudia Marcela Borrego, APRN
• Susana Borrego
• Borton Nursing Inc
• Louis John Borucki, MD
• Joanna Bosch
• Deborah Bosco, LMHC
• Boss Medical Supplies LLC

• Clinical Social Worker in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.