Julie A Borgen, LCSW
Individual provider Active NPI Clinical Social Worker · Canandaigua, NY
NPI 1639488307 · NPPES record last updated Apr 25, 2011
Key facts
- NPI
- 1639488307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- R040491-1 (NY)
- Practice address
- 400 Fort Hill Ave
Canandaigua, NY 14424-1159 - Phone
- (585) 393-7777
- NPI assigned
- Sep 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| R040491-1 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R040491-1 | NY | Yes |
Addresses
Primary practice location
400 Fort Hill Ave
Canandaigua, NY 14424-1159
Mailing address
688 East Ave
Apt 2a
Rochester, NY 14607-2155
Phone (585) 473-3508
Other providers in Canandaigua, NY
- Jessica Boise
- Elizabeth Bond
- Judi Ann Bonk-Guy
- Jenna Mahar Bonvell
- Patricia Hyams Borden
- Ann Gurli Borgstrom
- Nia Botkin
- Emily Suzanne Bower
- Brianna L Bowers
- Jennifer Boyce
All providers in Canandaigua, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2011. 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.