Individual provider Active NPI

Rebekkah Boronkay, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1932781887
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100794 Issued in CA
Practice address
4477 1/2 35TH St
San Diego, CA 92116-3525
Phone
(760) 587-0649
NPI assigned
Apr 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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 100794 CA Primary

Addresses

Primary practice location

4477 1/2 35TH St
San Diego, CA 92116-3525

Mailing address

4477 1/2 35TH St
San Diego, CA 92116-3525
Phone (760) 587-0649

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260519001683 CA Practitioner - Clinical Social Worker 3274002399 Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

San Diego, CA 92116
Phone (760) 206-8967

1558 Hikers Trail Dr
Chula Vista, CA 91915-1825

4477 /2
San Diego, CA 92116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100794CAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1932781887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4477 1/2 35TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163525",
            "telephone_number": "760-587-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 1/2 35TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163525",
            "telephone_number": "760-587-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORONKAY",
        "first_name": "REBEKKAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.