Healthcare Provider Details

I. General information

NPI: 1073565057
Provider Name (Legal Business Name): MARIAN B BORGIA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIAN B TRUAX MSW

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 COMPUTER DR W STE 100-02
ALBANY NY
12205-1613
US

IV. Provider business mailing address

5 COMPUTER DR W STE 100-02
ALBANY NY
12205-1613
US

V. Phone/Fax

Practice location:
  • Phone: 519-925-6656
  • Fax:
Mailing address:
  • Phone: 519-925-6656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number071180
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: