ABIGAIL BORLEY LCSW
NPI 1194392118
Social Worker - Clinical in Madison, WI
About Abigail Borley Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABIGAIL BORLEY LCSW (NPI 1194392118) is an individual clinical provider in Madison, Wisconsin and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Abigail Borley Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Abigail Borley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, WI 53711
- Reassigned Medicare billing, Wisconsin enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Abigail Borley's NPI number?
The NPI number for Abigail Borley is 1194392118. It was assigned to this individual provider in the NPPES registry on June 8, 2021. The provider is also known as Abby Gross.
Where is Abigail Borley located?
Abigail Borley practices at 210 E Olin Ave Ste 201, Madison, WI 53713. The listed phone number is (608) 280-3106.
What is Abigail Borley's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Abigail Borley enrolled in Medicare?
Yes. Abigail Borley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Abigail Borley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abigail Borley reassigns Medicare benefits to Journey Mental Health Center, Inc. (Madison, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abigail Borley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Abigail Borley accept?
Health plans from Dean Health Plan and Group Health Cooperative-SCW list Abigail Borley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Abigail Borley was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Abigail Borley, LCSW · NPI 1194392118
Clinical provider in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since June 8, 2021.
## Identity
- **NPI:** 1194392118 (Entity type: Individual)
- **Enumerated:** June 8, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 210 E OLIN AVE STE 201, Madison, WI 53713-1434
- **Phone:** (608) 280-3106
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Journey Mental Health Center, Inc. (NPI 1841413879, Madison, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194392118) · Data from the CMS NPPES public registry.