Individual provider Active NPI

Gloria Borer, LCSW-C

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1821080763
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
01518 Issued in MD
Practice address
8901 Wisconsin Ave
C/O NNMC BLDG 10, 7W, RM 7051, Cabhc
Bethesda, MD 20889-5600
Phone
(301) 295-6912
Fax
(301) 319-8841
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 01518 MD Primary

Addresses

Primary practice location

8901 Wisconsin Ave
C/O NNMC BLDG 10, 7W, RM 7051, Cabhc
Bethesda, MD 20889-5600

Mailing address

8901 Wisconsin Ave
C/O NNMC BLDG 10, 7W, RM 7051, Cabhc
Bethesda, MD 20889-5600
Phone (301) 295-6912

Other identifiers 3

IdentifierTypeStateIssuer
0904000544OtherVALCSW LICENSE
01518OtherMDLCSW-C LICENSE
LC300474OtherDCLICSW LICENSE

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01518MDMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821080763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "address_2": "C/O NNMC BLDG 10, 7W, RM 7051, CABHC",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895600",
            "telephone_number": "301-295-6912",
            "fax_number": "301-319-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "address_2": "C/O NNMC BLDG 10, 7W, RM 7051, CABHC",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895600",
            "telephone_number": "301-295-6912",
            "fax_number": "301-319-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORER",
        "first_name": "GLORIA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "01518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "0904000544",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW-C LICENSE",
            "identifier": "01518",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW LICENSE",
            "identifier": "LC300474",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.