Organization Active NPI

David J Borghi

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1720598402
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149019739 Issued in IL
Legal business name
DAVID J BORGHI
Practice address
415 S Mulford Rd
Rockford, IL 61108-3011
Phone
(847) 757-3434
Fax
(815) 399-5767
NPI assigned
Oct 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Authorized official

Name
Mindy Kay Johnson
Title
Office Manager
Phone
(815) 988-0389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149019739 IL Primary

Addresses

Primary practice location

415 S Mulford Rd
Rockford, IL 61108-3011

Mailing address

415 S Mulford Rd
Rockford, IL 61108-3011
Phone (847) 757-3434

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1720598402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611083011",
            "telephone_number": "847-757-3434",
            "fax_number": "815-399-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611083011",
            "telephone_number": "847-757-3434",
            "fax_number": "815-399-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J BORGHI",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-988-0389"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.