Individual provider Active NPI

Brenda Caya, LICSW

  • Clinical Social Worker
  • Duluth, MN
National Provider Identifier
1306336516
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23381 Issued in MN
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

Updated by the provider on May 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 4 clinicians

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

LicenseStateTypeSpecialty
23381MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Iron Range Behavioral Services, LLC Clinical CurrentSince Apr 8, 2021 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.

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

Verify at the official NPI Registry.