BRENDA SHORES LICSW
NPI 1619124716
Social Worker - Clinical in Saint Paul, MN

Active since August 20, 2008PECOS Enrolled
1821 UNIVERSITY AVE W, SUITE N 464, SAINT PAUL, MN 55104(651) 659-2900(651) 645-7307 Get Directions Write a Review

NPPES record last updated: August 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brenda Shores Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDA SHORES LICSW (NPI 1619124716) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (12470) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619124716
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBRENDA SHORESCredential: LICSW
Location Address1821 UNIVERSITY AVE W, SUITE N 464Saint Paul, MN 55104-2801
Mailing Address1821 University Ave W, Suite N 464Saint Paul, MN 55104-2801 · (651) 659-2900 · Fax (651) 645-7307
Fax(651) 645-7307
Sole ProprietorNo
Enumeration DateAugust 20, 2008
NPI 1619124716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 12470
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1821 UNIVERSITY AVE W, Saint Paul, MN 55104

Other Identifiers 1

Other12470MN · Licsw

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brenda Shores Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
1821 UNIVERSITY AVE W, SUITE S 286
ST PAUL, MN 55104
Behavior Technician
1821 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Counselor (Mental Health)
1821 UNIVERSITY AVE W, SUITE N385
SAINT PAUL, MN 55104
Social Worker (Clinical)
1821 UNIVERSITY AVE W, STE N-464
SAINT PAUL, MN 55104
Clinic/Center
1821 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Local Education Agency (LEA)
1821 UNIVERSITY AVE W, SUITE #271
SAINT PAUL, MN 55104
Marriage & Family Therapist
1821 UNIVERSITY AVE W, #S342
SAINT PAUL, MN 55104
Social Worker (Clinical)
1821 UNIVERSITY AVE W, STE. N-464
SAINT PAUL, MN 55104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenda Shores's NPI number?

The NPI number for Brenda Shores is 1619124716. It was assigned to this individual provider in the NPPES registry on August 20, 2008.

Where is Brenda Shores located?

Brenda Shores practices at 1821 University Ave W Suite N 464, Saint Paul, MN 55104. The listed phone number is (651) 659-2900.

What is Brenda Shores's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Brenda Shores enrolled in Medicare?

Yes. Brenda Shores is registered in the Medicare PECOS enrollment system.

What insurance does Brenda Shores accept?

Health plans from HealthPartners list Brenda Shores as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brenda Shores was last updated on August 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.