Provider Demographics
NPI:1851914147
Name:BENJAMIN BORKAN LCSW LLC
Entity Type:Organization
Organization Name:BENJAMIN BORKAN LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BORKAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:207-370-2454
Mailing Address - Street 1:186 MAIN ST N
Mailing Address - Street 2:
Mailing Address - City:SEARSMONT
Mailing Address - State:ME
Mailing Address - Zip Code:04973-3410
Mailing Address - Country:US
Mailing Address - Phone:503-752-4748
Mailing Address - Fax:
Practice Address - Street 1:26 SPRING ST
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6817
Practice Address - Country:US
Practice Address - Phone:207-370-2454
Practice Address - Fax:207-888-2842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty