Janet Borden, Lcsw, Pllc | |
2202 E 49th St Ste 400 Tulsa OK 74105-8714 | |
(918) 749-1840 | |
(918) 451-9672 |
Full Name | Janet Borden, Lcsw, Pllc |
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Speciality | Social Worker |
Location | 2202 E 49th St Ste 400, Tulsa, Oklahoma |
Authorized Official Name and Position | Janet Borden (MANAGER) |
Authorized Official Contact | 9186974117 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Janet Borden, Lcsw, Pllc Po Box 140903 Broken Arrow OK 74014-0009 Ph: (918) 697-4117 | Janet Borden, Lcsw, Pllc 2202 E 49th St Ste 400 Tulsa OK 74105-8714 Ph: (918) 749-1840 |
NPI Number | 1750764072 |
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Provider Enumeration Date | 07/06/2015 |
Last Update Date | 06/08/2021 |
Certification Date | 03/16/2021 |
Medicare PECOS PAC ID | 4880013499 |
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Medicare Enrollment ID | O20201001000926 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750764072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5001 (Oklahoma) | Primary |
Provider Name | Janet Gale Borden |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336422930 PECOS PAC ID: 5799104303 Enrollment ID: I20221101002296 |
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