RENAE A. BRODEN LICSW
NPI 1902001373
Social Worker - Clinical in Grand Forks, ND

Q: What is Renae Broden's NPI number?

The NPI number for Renae Broden is 1902001373. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Q: What is Renae Broden's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Renae Broden was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since June 18, 2007PECOS EnrolledAccepts Medicare Assignment

1615 17TH AVE S, GRAND FORKS, ND 58201(701) 795-8550 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2026, Jan 2, 2026 (2 updates tracked since 2026).

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About Renae A. Broden Licsw NPPES

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

RENAE A. BRODEN LICSW (NPI 1902001373) is an individual clinical provider in Grand Forks, North Dakota, licensed in North Dakota (474) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1902001373

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameRENAE A. BRODENCredential: LICSW

Location Address1615 17TH AVE SGrand Forks, ND 58201-5372

Mailing Address221 Circle Hills DrGrand Forks, ND 58201-7956 · (701) 772-5145

Phone(701) 795-8550

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateJune 18, 2007

Last NPPES UpdateJanuary 19, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2026

✔ NPI 1902001373 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 ND · 474

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.

1615 17TH AVE S, Grand Forks, ND 58201

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Other Identifiers 1

Other25918ND · Ndbcbs Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Renae A. Broden Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537326285

PECOS Enrollment IDI20120207000803

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

335 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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 $55.75 – $168.12

Typical copayment $0.00 (range $13.93 – $42.03)

Most-billed visit code NA

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

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 10

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

MR. JEFF WILLIAMS LCSW

Social Worker (Clinical)