Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kelly Bordman, LCSW

Individual provider Social Worker · NPI 1184753980

Mrs. Kelly Bordman, LCSW is a Social Worker in Vista, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

200 Michigan Ave
Vista, CA 92084-5424
Phone: (760) 726-4900
Fax: (760) 631-5633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X · Licence 69179 (CA)

Record details

NPI number1184753980
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 5, 2007
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023

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