MRS. KELLY BORDMAN LCSW
NPI 1184753980
Counselor - Mental Health in Vista, CA

Active since March 05, 2007
200 MICHIGAN AVE, VISTA, CA 92084(760) 726-4900(760) 631-5633 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Kelly Bordman Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY BORDMAN LCSW (NPI 1184753980) is an individual mental health provider in Vista, California and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1184753980
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KELLY BORDMANCredential: LCSW
Location Address200 MICHIGAN AVEVista, CA 92084-5424
Mailing Address3255 Camino Del Rio SSan Diego, CA 92108-3806 · (619) 307-3977 · Fax (619) 563-2775
Fax(760) 631-5633
Sole ProprietorYes
Enumeration DateMarch 5, 2007
Last NPPES UpdateFebruary 22, 2023
NPPES CertifiedFebruary 22, 2023
NPI 1184753980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 69179 (CA)
200 MICHIGAN AVE, Vista, CA 92084

Other Identifiers 1

Other23635CA · Asw Intern Registration #

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
200 MICHIGAN AVE
VISTA, CA 92084
Counselor (Mental Health)
200 MICHIGAN AVE
VISTA, CA 92084
Marriage & Family Therapist
200 MICHIGAN AVE
VISTA, CA 92084
Student in an Organized Health Care Education/Training Program
200 MICHIGAN AVE
VISTA, CA 92084
Day Training/Habilitation Specialist
200 MICHIGAN AVE
VISTA, CA 92084
Student in an Organized Health Care Education/Training Program
200 MICHIGAN AVE
VISTA, CA 92084
Community/Behavioral Health
200 MICHIGAN AVE
VISTA, CA 92084
Marriage & Family Therapist
200 MICHIGAN AVE
VISTA, CA 92084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Bordman's NPI number?

The NPI number for Kelly Bordman is 1184753980. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Kelly Bordman located?

Kelly Bordman practices at 200 Michigan Ave, Vista, CA 92084. The listed phone number is (760) 726-4900.

What is Kelly Bordman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Bordman was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.