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GEOFFREY PAUL BORK LCSW
NPI 1720677859
Social Worker - Clinical in Camp Pendleton, CA

Active since January 13, 2021PECOS Enrolled
11TH STREET, BUILDING 16105, CAMP PENDLETON, CA 92005(760) 725-5538 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 8, 2021, Jan 13, 2021 (2 updates tracked since 2021).

About Geoffrey Paul Bork Lcsw NPPES

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

GEOFFREY PAUL BORK LCSW (NPI 1720677859) is an individual clinical provider in Camp Pendleton, California, licensed in California (87459) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720677859
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameGEOFFREY PAUL BORKCredential: LCSW
Location Address11TH STREET, BUILDING 16105Camp Pendleton, CA 92005-9200
Mailing Address30419 Terrain StMurrieta, CA 92563-1822 · (619) 884-2061
Phone(760) 725-5538
Sole ProprietorYes
Enumeration DateJanuary 13, 2021
Last NPPES UpdateOctober 8, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2021
✔ NPI 1720677859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 87459
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
11TH STREET, Camp Pendleton, CA 92005
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Geoffrey Paul Bork Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Geoffrey Bork's NPI number?

The NPI number for Geoffrey Bork is 1720677859. It was assigned to this individual provider in the NPPES registry on January 13, 2021.

Where is Geoffrey Bork located?

Geoffrey Bork practices at 11th Street Building 16105, Camp Pendleton, CA 92005. The listed phone number is (760) 725-5538.

What is Geoffrey Bork's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Geoffrey Bork enrolled in Medicare?

Yes. Geoffrey Bork is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Geoffrey Bork was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.