Jack Arnold Borener, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801062445 Issued in MI

Practice address

500 E Pottawatamie St
Tecumseh, MI 49286-2018

Phone

(517) 424-3000

NPI assigned

Jan 11, 2007

Last updated

Jan 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Center for Family Psychiatry, PLC

  • Psychiatry Physician
  • Saline, MI
  • NPI 1821219536

  Clinical

  NPD (past)
• Center for Family Psychiatry, PLC

  • Clinical Social Worker
  • Saline, MI
  • NPI 1932387263
  NPD (past)
• Herrick Hospital

  • Clinical Medical Laboratory
  • Tecumseh, MI
  • NPI 1740609098
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1710037932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492210548",
            "telephone_number": "517-265-0229",
            "fax_number": "517-265-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E POTTAWATAMIE ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862018",
            "telephone_number": "517-424-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORENER",
        "first_name": "JACK",
        "middle_name": "ARNOLD",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801062445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles E Berrington, DC
• Harold Stephen Bilotta Jr., MS LLP
• Bio-Medical Applications of Michigan, Inc. (Bma Tecumseh)
• Rhonie Black, LCSW
• Jamar Dominique Bonney
• Kristen J Bracklein, D.O.
• Thomas Richard Branton, LMSW
• Cleon Sherrill Broussard, P.T.
• Abbey L Brown, FNP-BC
• Mary Browning

• Clinical Social Worker in Tecumseh, MI
• Providers in Tecumseh, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.