Jennifer Borgeson, ACSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

29632 E Highway 299
Round Mountain, CA 96084-8000

Phone

(530) 319-7066

NPI assigned

Sep 10, 2019

Last updated

Sep 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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 CA

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Hill Country Community ClinicGroup PAC ID 1052442175, 19 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hill Country Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Round Mountain, CA
  • NPI 1407914260
  Medicare reassignment Care Compare group NPD
• Hill Country Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1568338218
  NPD

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1831748920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 991034",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960991034",
            "telephone_number": "530-319-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29632 E HIGHWAY 299",
            "city": "ROUND MOUNTAIN",
            "state": "CA",
            "postal_code": "960848000",
            "telephone_number": "530-319-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGESON",
        "first_name": "JENNIFER",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathanial R Anderson
• Tonya Renee Brissey, LCSW, LAADC
• Asa Mark Calkins, FNP
• Jo Campbell, MSW
• Madison Campbell
• Sarah Marie Compton

• Social Worker in Round Mountain, CA
• Providers in Round Mountain, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.