Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA M BRENNOM, LICSW
ActiveLISA M BRENNOM, LICSW is a Clinical Social Worker healthcare provider located in MINNETONKA, Minnesota. NPI 1437179611 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MINNETONKA, MN
Registration Details
- NPI Number
- 1437179611
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 20, 2006 (19.882771757344 yrs)
- Last Updated
- May 3, 2018
- License
-
13588 (MS)
Practice Information
- Address
-
3395 PLYMOUTH RDMINNETONKA, MN, 553053765Browse MN providers · Browse ZIP 55305
- Phone
- 9529390396
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MINNETONKA, MN
| Name | Credential | NPI |
|---|---|---|
| JOAN W. LALLY | LICSW | 1477531424 |
| MS. JENNIFER MARY GISH | LICSW | 1922054949 |
| MRS. SARAH BARRETT | LICSW | 1700816279 |
| BRADFORD B BENSON | LISCW | 1023030442 |
| MS. LYNDRA HEARN ANTONSON | LICSW | 1881603066 |
| MS. SUSAN B. GARFIELD | LISCW, ACSW | 1003826348 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.