Basic Information
| Provider Information | |||||||||
| NPI: | 1083134316 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BORGES | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | ALAN | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 400 WASHINGTON ST STE 303 | ||||||||
| Address2: | |||||||||
| City: | BRAINTREE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021844768 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7818433683 | ||||||||
| FaxNumber: | 7818480206 | ||||||||
| Practice Location | |||||||||
| Address1: | 1082 DAVOL ST | ||||||||
| Address2: | |||||||||
| City: | FALL RIVER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027201124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5086782833 | ||||||||
| FaxNumber: | 5086759640 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2017 | ||||||||
| LastUpdateDate: | 06/27/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 221541 | MA | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.