Active NPI
Gwen Borcyk, MSW, LCSW, PLLC
- Community/Behavioral Health Agency
- Wilmington, NC
National Provider Identifier
1750926465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.