BRENDA SHORES LICSW
NPI 1619124716
Social Worker - Clinical in Saint Paul, MN
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
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brenda Shores Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brenda Shores reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Paul, MN 55114
- Reassigned Medicare billing, Minnesota enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
SAINT PAUL, MN 55104
SAINT PAUL, MN 55104
SAINT PAUL, MN 55104
SAINT PAUL, MN 55104
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.
Which organization bills Medicare for Brenda Shores's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Shores reassigns Medicare benefits to Mental Health Resources, Inc. (Saint Paul, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brenda Shores's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 18 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.
# Brenda Shores, LICSW · NPI 1619124716
Clinical provider in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since August 20, 2008.
## Identity
- **NPI:** 1619124716 (Entity type: Individual)
- **Enumerated:** August 20, 2008
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 12470 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1821 UNIVERSITY AVE W, SUITE N 464, Saint Paul, MN 55104-2801
- **Phone:** (651) 659-2900 · **Fax:** (651) 645-7307
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mental Health Resources, Inc. (NPI 1790909703, Saint Paul, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2008
- **Other identifiers:** Other 12470 (MN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1619124716) · Data from the CMS NPPES public registry.