Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Renae A. Broden, LICSW

Individual provider Clinical Social Worker · NPI 1902001373

Renae A. Broden, LICSW is a Clinical Social Worker in Grand Forks, North Dakota. Qualified in 1982, 44 years ago. Practices with Northland Christian Counseling Center Inc, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
44
Licensed in
ND
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1615 17th Ave S
Grand Forks, ND 58201-5372
Phone: (701) 795-8550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 474 (ND)

Record details

NPI number1902001373
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 18, 2007
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Northland Christian Counseling Center Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Grand Forks