Active NPI
Brenda Caya, LICSW
- Clinical Social Worker
- Duluth, MN
National Provider Identifier
1306336516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23381
- Practice address
- 101 W 2ND St
Duluth, MN 55802-2086 - Phone
- (218) 724-3122
- Fax
- (218) 724-4041
- NPI assigned
- May 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23381 | MN | Primary |
Addresses
Primary practice location
101 W 2ND St
Duluth, MN 55802-2086
Mailing address
101 W 2ND St
Duluth, MN 55802-2086
Phone (218) 724-3122
Other practice location 1
115 7th St
Two Harbors, MN 55616-1528
Phone (218) 724-3122
Other names 1
- Brenda Borgaro
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180719003460 | MN | Practitioner - Clinical Social Worker | 5799032868 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Minnesota, Duluth School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iron Range Behavioral Services LLC
Practice addresses (Care Compare)
910 8TH St S
Suite B
Virginia, MN 55792-3236
Phone (218) 748-8500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23381 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iron Range Behavioral Services, LLC | Clinical | Current | Accepting new patients |
Locations
205 W 2nd St
Ste 205
Duluth, MN 55802
Phone (218) 729-2039
910 8th St S
Ste B
Virginia, MN 55792
Phone (218) 748-8500
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Virginia, MN
- NPI 1851900484
Clinical, MN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1306336516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W 2ND ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558022086",
"telephone_number": "218-724-3122",
"fax_number": "218-724-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W 2ND ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558022086",
"telephone_number": "218-724-3122",
"fax_number": "218-724-4041"
}
],
"practiceLocations": [
{
"address_1": "115 7th St",
"address_purpose": "LOCATION",
"city": "Two Harbors",
"state": "MN",
"postal_code": "556161528",
"country_code": "US",
"telephone_number": "218-724-3122",
"fax_number": "218-724-4041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAYA",
"first_name": "BRENDA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-14",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "23381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "BORGARO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.