Organization Active NPI

Gwen Borcyk, MSW, LCSW, PLLC

  • Community/Behavioral Health Agency
  • Wilmington, NC
National Provider Identifier
1750926465
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GWEN BORCYK, MSW, LCSW, PLLC
Practice address
313 Walnut St Ste 106
Wilmington, NC 28401-4063
Phone
(336) 345-5565
Fax
(910) 636-5111
NPI assigned
Nov 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Authorized official

Name
Gwen Borcyk, LCSW
Title
Owner/ Therapist
Phone
(336) 345-5565

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

313 Walnut St Ste 106
Wilmington, NC 28401-4063

Mailing address

313 Walnut St Ste 106
Wilmington, NC 28401-4063
Phone (336) 345-5565

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1750926465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 WALNUT ST STE 106",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014063",
            "telephone_number": "336-345-5565",
            "fax_number": "910-636-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 WALNUT ST STE 106",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014063",
            "telephone_number": "336-345-5565",
            "fax_number": "910-636-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWEN BORCYK, MSW, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "BORCYK",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "336-345-5565",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.