Claudia Borrell, LCSW

Individual provider Active NPI Clinical Social Worker · Wantagh, NY

NPI 1801900600 · NPPES record last updated Jun 26, 2008

Key facts

NPI
1801900600
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
071242-1 (NY)
Practice address
3375 Park Ave
Wantagh, NY 11793-3733
Phone
(516) 781-1911
Fax
(516) 781-1173
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
071242-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Nassau Guidance Center Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 071242-1 NY Yes

Addresses

Primary practice location

3375 Park Ave
Wantagh, NY 11793-3733

Mailing address

3375 Park Ave
Wantagh, NY 11793-3733
Phone (516) 781-1911

Other providers in Wantagh, NY

All providers in Wantagh, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.