Provider Demographics
NPI:1831748920
Name:BORGESON, JENNIFER (ACSW)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:BORGESON
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 991034
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96099-1034
Mailing Address - Country:US
Mailing Address - Phone:530-319-7066
Mailing Address - Fax:
Practice Address - Street 1:29632 E HIGHWAY 299
Practice Address - Street 2:
Practice Address - City:ROUND MOUNTAIN
Practice Address - State:CA
Practice Address - Zip Code:96084-8000
Practice Address - Country:US
Practice Address - Phone:530-319-7066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-10
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker