Active NPIIndividual provider

Mr. Michael S Bornhorst, MSW LICSW

Social Worker, Clinical in Marblehead, Massachusetts

NPI Number1730275066
Practice location
66 Clifton Ave, Marblehead, MA 01945
Fax
781-631-7264
Last updated
July 8, 2007

Michael Scott Bornhorst is a Social Worker, Clinical based in Marblehead, MA. Michael Scott Bornhorst practices in Marblehead, MA and has the professional credentials of MSW LICSW. The NPI Number for Michael Scott Bornhorst is 1730275066 and holds a License No. SW113269 (MA). The current practice location address for Michael Scott Bornhorst is 66 Clifton Ave, Marblehead, MA 01945 and can be reached out via phone at 781-631-8273 and via fax at 781-631-7264.

Provider Profile Details

NPI Number
1730275066
Provider Name
Michael Scott Bornhorst
Credential
MSW LICSW
Provider Entity Type
Individual
Gender
Male
Address
66 Clifton Ave, Marblehead, MA 01945
Phone Number
781-631-8273
Fax Number
781-631-7264
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 5, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
66 Clifton Ave
Marblehead, MA 01945
Zip
01945
Phone Number
781-631-8273
Fax Number
781-631-7264
Marblehead, MA 01945Get directions →

Provider Business Mailing Address Details

Address
5 Bessom St
#317
Marblehead, MA 01945
City
Marblehead
State
MA
Zip
01945
Phone Number
617-233-6953
Fax Number
781-639-2014

License Information

License Number
SW113269
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Michael S Bornhorst, MSW LICSW?

The NPI number of Mr. Michael S Bornhorst, MSW LICSW is 1730275066. It was assigned on October 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael S Bornhorst, MSW LICSW?

Mr. Michael S Bornhorst, MSW LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number SW113269.

Where does Mr. Michael S Bornhorst, MSW LICSW practice?

The practice location is 66 Clifton Ave, Marblehead, MA 01945. The office can be reached at 781-631-8273 (phone) or 781-631-7264 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730275066 directly on the NPPES registry website.

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