Provider Demographics
NPI:1376167130
Name:BORCYK, AMBER (MSSW LCSW-A)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:BORCYK
Suffix:
Gender:F
Credentials:MSSW LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 LONG CREEK LOOP RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY POINT
Mailing Address - State:NC
Mailing Address - Zip Code:28457-8845
Mailing Address - Country:US
Mailing Address - Phone:336-423-7246
Mailing Address - Fax:
Practice Address - Street 1:18 W COLONY PL STE 110-130
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-5582
Practice Address - Country:US
Practice Address - Phone:919-819-6082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-07
Last Update Date:2020-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0145661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical