Active NPI
Jonathan Clay Borens, MSW
- Clinical Social Worker
- Waco, TX
National Provider Identifier
1457385247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00130
- Practice address
- 4800 Memorial Dr
Waco, TX 76711-1329 - Phone
- (254) 297-3611
- NPI assigned
- Jul 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 00130 | TX | Primary |
Addresses
Primary practice location
4800 Memorial Dr
Waco, TX 76711-1329
Mailing address
1609 Oak Hollow Dr
Woodway, TX 76712-2225
Phone (254) 297-3611
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00130 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457385247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 OAK HOLLOW DR",
"city": "WOODWAY",
"state": "TX",
"postal_code": "767122225",
"telephone_number": "254-297-3611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 MEMORIAL DR",
"city": "WACO",
"state": "TX",
"postal_code": "767111329",
"telephone_number": "254-297-3611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORENS",
"first_name": "JONATHAN",
"middle_name": "CLAY",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "00130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
- Anna Christine Bonner
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- Nata Marie Boone, LPC
- Kathileen Riley Boozer, CFNP
- Bop Dental Specialists (Brazos Kids Dental)
- Jill Borland, LPC, NCC
- Michael John Borucki, M.D.
- Bosque River Physical Therapy & Rehab
- Bosque River Physical Therapy and Rehabilitation Limited Partnership
- Bosqueville Isd
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.