Individual provider Active NPI

Lillian Marie Borek, MSW

  • Clinical Social Worker
  • Williston, VT
National Provider Identifier
1952467086
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0890000556 Issued in VT
Practice address
183 Talcott Rd
Suite 206
Williston, VT 05495-2089
Phone
(802) 876-1100
Fax
(802) 876-1101
NPI assigned
Jan 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 0890000556 VT Primary

Addresses

Primary practice location

183 Talcott Rd
Suite 206
Williston, VT 05495-2089

Mailing address

183 Talcott Rd
Suite 206
Williston, VT 05495-2089
Phone (802) 876-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20101012000252 VT Practitioner - Clinical Social Worker 0345432183 Practice locations: Williston, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

183 Talcott Rd
Williston, VT 05495-2075
Phone 8028761100301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952467086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 TALCOTT RD",
            "address_2": "SUITE 206",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054952089",
            "telephone_number": "802-876-1100",
            "fax_number": "802-876-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 TALCOTT RD",
            "address_2": "SUITE 206",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054952089",
            "telephone_number": "802-876-1100",
            "fax_number": "802-876-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOREK",
        "first_name": "LILLIAN",
        "middle_name": "MARIE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890000556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

Verify at the official NPI Registry.