Individual provider · Type 1 NPI

Kelly Bordman, LCSW

Mental Health Counselor · San Diego, CA

NPI number 1184753980 Active

Practice location

3255 Camino Del Rio S
San Diego, CA 92108-3806

Fax (619) 563-2775

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X69179 (CA)
Social Worker 104100000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1184753980

Kelly Bordman, LCSW's National Provider Identifier is 1184753980, issued on Mar 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Oct 27, 2026.