Active NPI
Haruna Borg, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1568639714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 076452-1
- Practice address
- 1133 Broadway
Ste 920
New York, NY 10010-8218 - Phone
- (212) 978-3257
- NPI assigned
- May 15, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 076452-1 | NY | Primary |
Addresses
Primary practice location
1133 Broadway
Ste 920
New York, NY 10010-8218
Mailing address
530 E 23Rd St
Apt9B
New York, NY 10010-5022
Phone (212) 978-3257
Other names 1
- Ms. Haruna Miyamoto-Borg
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076452-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1568639714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 E 23RD ST",
"address_2": "APT9B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105022",
"telephone_number": "212-978-3257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 BROADWAY",
"address_2": "STE 920",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100108218",
"telephone_number": "212-978-3257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORG",
"first_name": "HARUNA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-15",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "076452-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HARUNA",
"last_name": "MIYAMOTO-BORG",
"prefix": "MS.",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.