Active NPI
Christine Lynn Bornt, LCSW
- Clinical Social Worker
- Galway, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 093040
- Practice address
- 5317 Sacandaga Rd
Galway, NY 12074-2423 - Phone
- (518) 882-1221
- NPI assigned
- Mar 18, 2022
- Last updated
- Mar 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093040 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care Psychology of Ny PC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Galway Central School | Past | 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.
-
- Local Education Agency (LEA)
- Galway, NY
- NPI 1740326032
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.