Active NPI
Kayla Borgolini, LCSWA
- Clinical Social Worker
- New Bern, NC
National Provider Identifier
1548099328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P020907
- Practice address
- 2409 Grace Ave
New Bern, NC 28562-4445 - Phone
- (910) 759-5959
- Fax
- (910) 516-5036
- NPI assigned
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | P020907 | NC | |
| Clinical Social Worker | 1041C0700X | P020907 | NC | Primary |
Addresses
Primary practice location
2409 Grace Ave
New Bern, NC 28562-4445
Mailing address
210 Albatross St
Elizabeth City, NC 27909-6702
Phone (757) 749-3487
Other practice location 1
407 S Griffin St Ste J
Elizabeth City, NC 27909-4693
Phone (252) 331-0322
Other names 1
- Kayla Michelle Borgolini
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 |
|---|---|---|---|
| P020907 | NC | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean'S Crest Counseling Center, PLLC | Community/Behavioral Health | Current | Accepting new patients |
Locations
2409 Grace Ave
New Bern, NC 28562
Phone (252) 368-6161
Organizations & group practices 1
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.
-
- Mental Health Counselor
- New Bern, NC
- NPI 1295468742
Community/Behavioral Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1548099328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 ALBATROSS ST",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279096702",
"telephone_number": "757-749-3487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 GRACE AVE",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285624445",
"telephone_number": "910-759-5959",
"fax_number": "910-516-5036"
}
],
"practiceLocations": [
{
"address_1": "407 S Griffin St Ste J",
"address_purpose": "LOCATION",
"city": "Elizabeth City",
"state": "NC",
"postal_code": "279094693",
"country_code": "US",
"telephone_number": "252-331-0322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORGOLINI",
"first_name": "KAYLA",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-30",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "P020907",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P020907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLA",
"last_name": "BORGOLINI",
"middle_name": "MICHELLE",
"credential": "LCSWA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.