Healthcare Provider Details

I. General information

NPI: 1841106085
Provider Name (Legal Business Name): ALYSSA BORKOWSKI LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 MAPLEDALE
FERNEDALE MI
48220
US

IV. Provider business mailing address

8401 18 MILE RD APT 139
STERLING HEIGHTS MI
48313-3055
US

V. Phone/Fax

Practice location:
  • Phone: 248-658-5432
  • Fax:
Mailing address:
  • Phone: 586-219-9031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number6801122391
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: