Abby Kathryn Borchardt, LICSW
Individual provider Active NPI Clinical Social Worker · Devils Lake, ND
NPI 1811206758 · NPPES record last updated Jun 19, 2014
Key facts
- NPI
- 1811206758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3985 (ND)
- Practice address
- 200 Highway 2 W
Devils Lake, ND 58301-3532 - Phone
- (701) 665-2200
- Fax
- (701) 665-2200
- NPI assigned
- Sep 27, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3985 | ND | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3985 | ND | Yes |
Addresses
Primary practice location
200 Highway 2 W
Devils Lake, ND 58301-3532
Mailing address
200 Highway 2 W
Devils Lake, ND 58301-3532
Phone (701) 665-2200
Other providers in Devils Lake, ND
- Carla Ernestina Bjornson
- Maryjane Blanchfield
- Blooming Prairie Assessment & Therapy Center P.C.
- Jacie Boe
- Erinpatricia Flaherty Bommersbach
- Samantha Bounds
- Patricia J Bradley
- Shera Jean Brandvold
- Channing Braun
- Tesha Lynn Brehm
All providers in Devils Lake, ND · Clinical Social Worker in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.