Gerald Steven Borts, LCSW
Individual provider Active NPI Clinical Social Worker · Altadena, CA
NPI 1861740367 · NPPES record last updated Aug 15, 2012
Key facts
- NPI
- 1861740367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCS14230 (CA)
- Practice address
- 625 Mountain View St
Altadena, CA 91001-4922 - Phone
- (626) 797-3000
- NPI assigned
- Aug 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS14230 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS14230 | CA | Yes |
Addresses
Primary practice location
625 Mountain View St
Altadena, CA 91001-4922
Mailing address
625 Mountain View St
Altadena, CA 91001-4922
Phone (626) 797-3000
Other names
- Gerry Borts
Other providers in Altadena, CA
- Tarik K Blair
- Michaela Marie Block
- Blue Heaven Hospice & Palliative Care Inc
- Armond Boldi
- Joanna Bond
- Bourne Inc
- Bourne Inc
- Bourne Inc
- Bourne Inc
- Chanel Boutakidis
All providers in Altadena, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2012. 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.