Individual provider Active NPI

Jean Elizabeth Borger, LCSW

  • School Social Worker
  • Schenectady, NY
National Provider Identifier
1750652376
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
075760-1 Issued in NY
Practice address
1880 Lancaster St
Schenectady, NY 12308-1533
Phone
(518) 881-2000
NPI assigned
Jan 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 075760-1 NY Primary

Addresses

Primary practice location

1880 Lancaster St
Schenectady, NY 12308-1533

Mailing address

1880 Lancaster St
Schenectady, NY 12308-1533
Phone (518) 881-2000

Other identifiers 1

IdentifierTypeStateIssuer
01406986MedicaidNY

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
075760-1NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Schenectady City School District Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1750652376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LANCASTER ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123081533",
            "telephone_number": "518-881-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LANCASTER ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123081533",
            "telephone_number": "518-881-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGER",
        "first_name": "JEAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "075760-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01406986",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.