Provider Demographics
NPI:1033095328
Name:BORGEN, JANE MARIE (LADC, MSW/LGSW)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:MARIE
Last Name:BORGEN
Suffix:
Gender:F
Credentials:LADC, MSW/LGSW
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:MARIE
Other - Last Name:KNUDSEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LADC, MSW
Mailing Address - Street 1:300 3RD AVE SE STE 302
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-4681
Mailing Address - Country:US
Mailing Address - Phone:507-533-5908
Mailing Address - Fax:507-353-0566
Practice Address - Street 1:300 3RD AVE SE STE 302
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-4681
Practice Address - Country:US
Practice Address - Phone:507-533-5908
Practice Address - Fax:507-353-0566
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN306852101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)