Individual provider Active NPI

Christine Lynn Bornt, LCSW

  • Clinical Social Worker
  • Galway, NY
National Provider Identifier
1982353801
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
093040 Issued in NY
Practice address
5317 Sacandaga Rd
Galway, NY 12074-2423
Phone
(518) 882-1221
NPI assigned
Mar 18, 2022
Last updated
Mar 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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 093040 NY Primary

Addresses

Primary practice location

5317 Sacandaga Rd
Galway, NY 12074-2423

Mailing address

408 S William St
Johnstown, NY 12095-2914
Phone (518) 706-7560

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clbornt@galwaycsd.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220823002365 NY Practitioner - Clinical Social Worker 2163805268 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
093040NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care Psychology of Ny PC CurrentSince Aug 1, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 18, 2025 Accepting new patients
Galway Central School PastSince Mar 20, 2022 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

48 Cedar St
Brooklyn, NY 11221
Phone (718) 455-6200

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1982353801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S WILLIAM ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120952914",
            "telephone_number": "518-706-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 SACANDAGA RD",
            "city": "GALWAY",
            "state": "NY",
            "postal_code": "120742423",
            "telephone_number": "518-882-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNT",
        "first_name": "CHRISTINE",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clbornt@galwaycsd.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5317 Sacandaga Rd",
            "city": "Galway",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120742423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Galway, NY

Sources for this page

Verify at the official NPI Registry.