# LISA M BERENDTS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1720301005
- **Gender:** F
- **Credential:** MSW, LICSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | LW 00005238 | WA | — |
| 1041C0700X | Clinical Social Worker | 6233 | SD | Yes |
| 1041C0700X | Clinical Social Worker | LW00005238 | WA | — |

## Other

- **Enumeration date:** 03/01/2010
- **Last updated:** 06/27/2025