Jeanette Christine Borunda, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-09328 Issued in NM

Practice address

718 10TH St
Alamogordo, NM 88310-6777

Phone

(575) 415-3775

Fax

(575) 522-5177

NPI assigned

May 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pawsitively Transformational Health and Wellness Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alamogordo, NM
  • NPI 1316547904
  Medicare reassignment NPD

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1821444290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S. CANYON PL",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "88310",
            "telephone_number": "206-909-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106777",
            "telephone_number": "575-415-3775",
            "fax_number": "575-522-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUNDA",
        "first_name": "JEANETTE",
        "middle_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vassil Dimov Bogdanov, PT
• Trinese Bolding
• Calvin Bolinder, PHD, PPCC
• Dochelle Booket
• Brynn Marie Borer, OTR/L
• Mercedes Bose
• Katalina Bosquez
• Paul Bossart, LPC
• Courtney Bottomley
• Jessica J Bowman

• Clinical Social Worker in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.