Maureen A Borkowski, LCSW-R, CASAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R071800-1 Issued in NY

Practice address

6800 Jericho Tpke
Suite 122W
Syosset, NY 11791-4436

Phone

(631) 235-3410

NPI assigned

Sep 29, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bomo, Inc.

  • Clinical Social Worker
  • Syosset, NY
  • NPI 1841524253

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1962736546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 TAPPAN AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117514106",
            "telephone_number": "631-581-6846",
            "fax_number": "631-581-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 JERICHO TPKE",
            "address_2": "SUITE 122W",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914436",
            "telephone_number": "631-235-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORKOWSKI",
        "first_name": "MAUREEN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "4097",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R071800-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Lefkon Bomse, LCSW
• Lisa E Bomse, PSYD
• Bon Acupuncture PLLC
• Yvonne Bonomi, P.T.A
• Cara Flavia Bonuso, PSY.D.
• Robert William Borzone, DC, LAC
• Sharon Borzone, DC
• Daniel Bosshart
• Sharon Debra Botter, LMSW
• Faye Bottone, LCSW-R

• Clinical Social Worker in Syosset, NY
• Providers in Syosset, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.