Organization Active NPI

Janet Borden, LCSW, PLLC

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1750764072
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5001 Issued in OK
Legal business name
JANET BORDEN, LCSW, PLLC
Practice address
2202 E 49TH St Ste 400
Tulsa, OK 74105-8714
Phone
(918) 749-1840
Fax
(918) 451-9672
NPI assigned
Jul 6, 2015
Last updated
Jun 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Janet Borden, LCSWNPI 1336422930
Title
Manager
Phone
(918) 697-4117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 5001 OK Primary

Addresses

Primary practice location

2202 E 49TH St Ste 400
Tulsa, OK 74105-8714

Mailing address

PO Box 140903
Broken Arrow, OK 74014-0009
Phone (918) 697-4117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201001000926 OK Part B Supplier - Clinic/Group Practice 4880013499 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1750764072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140903",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740140009",
            "telephone_number": "918-697-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 E 49TH ST STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741058714",
            "telephone_number": "918-749-1840",
            "fax_number": "918-451-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET BORDEN, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2021-06-08",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "BORDEN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-697-4117",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.