Mary Catherine Chase Borgen, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

193 Issued in MN

Practice address

111 Market St
Suite 2
Winona, MN 55987-5532

Phone

(507) 454-2270

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mary Catherine Chase Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catholic Charities of the Diocese of Winona-Rochester

  • Clinical Social Worker
  • Winona, MN
  • NPI 1003848557
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295750438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E BROADWAY ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MARKET ST",
            "address_2": "SUITE 2",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875532",
            "telephone_number": "507-454-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE BORGEN",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CHASE",
            "middle_name": "CATHERINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catholic Charities of the Diocese of Winona-Rochester
• Vanessa Ceballos Reyes
• Center for Family Chiropractic
• Center for Natural Medicine PA
• Champion Family Chiropractic PSC
• Children'S Dental of Winona, LLC
• Eric R Christensen, PT
• Juliet Esther Christensen
• David A Christenson, MD
• Christopher E Carroll

• Clinical Social Worker in Winona, MN
• Providers in Winona, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.