Individual provider Active NPI

Carolina F Borden, LCSW

  • Clinical Social Worker
  • Ithaca, NY
National Provider Identifier
1699884759
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069655-1 Issued in NY
Practice address
144 Giles St
Ithaca, NY 14850-5910
Phone
(607) 227-5813
NPI assigned
Aug 30, 2006
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 069655-1 NY Primary

Addresses

Primary practice location

144 Giles St
Ithaca, NY 14850-5910

Mailing address

144 Giles St
Ithaca, NY 14850-5910
Phone (607) 232-3298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101000221 NY Practitioner - Clinical Social Worker 3779777057 Reassigns benefits to 6 organizations
Practice locations: Ithaca, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

300 Cadman PLZ W
Brooklyn, NY 11201-3211
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
069655NYMDClinical Social Worker
069655-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Che Senior Psychological Services, PC Clinical CurrentSince Jun 28, 2022 Accepting new patients
Knapp Street Psychiatry, PC Clinical CurrentSince Jun 28, 2022 Accepting new patients
Senior Living Behavioral Health LCSW PLLC Clinical CurrentSince Jun 1, 2019 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Comprehensive Counseling LCSW, PLLC Clinical CurrentSince Nov 1, 2022 Accepting new patients

Locations

2 Main St
Ste 2A
Plymouth, MA 02360

3635 Bell Blvd
Ste 203
Bayside, NY 11361
Phone (718) 504-9256

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

4071 Hardt Rd
Eden, NY 14057
Phone (716) 992-4466

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

1129 Northern Blvd
Ste 404
Manhasset, NY 11030
Phone (516) 305-5531

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 420-1934

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1699884759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 GILES ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505910",
            "telephone_number": "607-232-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 GILES ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505910",
            "telephone_number": "607-227-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "CAROLINA",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069655-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.