Healthcare Provider Details

I. General information

NPI: 1063130250
Provider Name (Legal Business Name): KATIE GEAN BORGMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2022
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1657 US HIGHWAY 395 N
MINDEN NV
89423-4316
US

IV. Provider business mailing address

1266 DRESSLERVILLE RD
GARDNERVILLE NV
89460-8967
US

V. Phone/Fax

Practice location:
  • Phone: 775-265-8622
  • Fax:
Mailing address:
  • Phone: 775-265-8622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12464-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: