Healthcare Provider Details

I. General information

NPI: 1780247122
Provider Name (Legal Business Name): CAITLIN BORGES LCSW-PIP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2019
Last Update Date: 02/08/2022
Certification Date: 02/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E 69TH ST STE 205
SIOUX FALLS SD
57108-8322
US

IV. Provider business mailing address

1601 E 69TH ST STE 205
SIOUX FALLS SD
57108-8322
US

V. Phone/Fax

Practice location:
  • Phone: 605-271-3575
  • Fax:
Mailing address:
  • Phone: 605-271-3575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4862
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4862
License Number StateSD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: