Keith A Borders, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Chesterfield, VA
NPI 1497880397 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1497880397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904005390 (VA)
- Practice address
- 6801 Lucy Corr CT
Chesterfield, VA 23832-6657 - Phone
- (804) 748-1227
- Fax
- (804) 717-6659
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904005390 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesterfield County Mental Health | Past | Accepting new patients | |
| Chesterfield County Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904005390 | VA | Yes |
Addresses
Primary practice location
6801 Lucy Corr CT
Chesterfield, VA 23832-6657
Mailing address
6801 Lucy Corr CT
Chesterfield, VA 23832-6657
Phone (804) 748-1227
Other providers in Chesterfield, VA
- Shannon Renee Blankenship
- Scott Block
- Blogravic LLC
- Bluebird Holistic Health
- Franklin Fook Lin Boon
- Kristina Bosworth
- Darian Bottoms
- Karen S Bowker
- Gwendolyn M Boykin
- Lisa A Boyles
All providers in Chesterfield, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.