Provider Demographics
NPI:1760787600
Name:BORKOWSKI, DEANN (LSW)
Entity Type:Individual
Prefix:MRS
First Name:DEANN
Middle Name:
Last Name:BORKOWSKI
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 LAYFIELD RD
Mailing Address - Street 2:
Mailing Address - City:PERKIOMENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18074-9524
Mailing Address - Country:US
Mailing Address - Phone:610-246-2669
Mailing Address - Fax:
Practice Address - Street 1:3075 W RIDGE PIKE
Practice Address - Street 2:
Practice Address - City:EAGLEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19403-1534
Practice Address - Country:US
Practice Address - Phone:610-265-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-25
Last Update Date:2012-10-26
Deactivation Date:2011-06-08
Deactivation Code:
Reactivation Date:2012-10-26
Provider Licenses
StateLicense IDTaxonomies
PASW126632104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker