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LISA M BRENNOM LICSW
NPI 1437179611
Social Worker - Clinical in Minnetonka, MN

Active since July 20, 2006PECOS Enrolled
3395 PLYMOUTH RD, MINNETONKA, MN 55305(952) 939-0396 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Lisa M Brennom Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA M BRENNOM LICSW (NPI 1437179611) is an individual clinical provider in Minnetonka, Minnesota, licensed in Mississippi (13588) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1437179611
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA M BRENNOMCredential: LICSW
Location Address3395 PLYMOUTH RDMinnetonka, MN 55305-3765
Mailing Address3395 Plymouth RdMinnetonka, MN 55305-3765 · (952) 567-9259
Phone(952) 939-0396
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateMay 3, 2018
✔ NPI 1437179611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MS · 13588
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3395 PLYMOUTH RD, Minnetonka, MN 55305
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Secondary Practice Location 1

Location 11200 Marquette AveMinneapolis, MN 55403-2419 · Phone (952) 939-0396

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa M Brennom Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH KATHARINE COLLINS LAMFT
Marriage & Family Therapist
3395 PLYMOUTH RD
MINNETONKA, MN 55305
Hennepin County (952) 939-0396
ANGELA BIERLE EARLY LICSW
Social Worker (Clinical)
3395 PLYMOUTH RD
MINNETONKA, MN 55305
Hennepin County (952) 939-0396
KATHERINE H SHEARER PT
Physical Therapist
3395 PLYMOUTH RD, ST DAVID'S CENTER
MINNETONKA, MN 55305
Hennepin County (952) 939-0396
MRS. KATY MARIE CLOUTIER MA,CCC,SLP
Speech-Language Pathologist
3395 PLYMOUTH RD
MINNETONKA, MN 55305
Hennepin County (952) 939-0396
MEGHAN ELIZABETH HOF MA, LPCC
Counselor
3395 PLYMOUTH RD
MINNETONKA, MN 55305
Hennepin County (952) 939-0396
MS. KRISTIN MARIE VANDERIET OTR
Specialist
3395 PLYMOUTH RD
MINNETONKA, MN 55305
Hennepin County (952) 939-0396
ELIZABETH MARIE DEACON
Speech-Language Pathologist
3395 PLYMOUTH RD
MINNETONKA, MN 55305
Hennepin County (952) 939-0396
JOAN CROMWELL
Speech-Language Pathologist
3395 PLYMOUTH RD
MINNETONKA, MN 55305
Hennepin County (952) 939-0396

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Brennom's NPI number?

The NPI number for Lisa Brennom is 1437179611. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Lisa Brennom located?

Lisa Brennom practices at 3395 Plymouth Rd, Minnetonka, MN 55305. The listed phone number is (952) 939-0396.

What is Lisa Brennom's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lisa Brennom enrolled in Medicare?

Yes. Lisa Brennom is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Brennom accept?

Health plans from HealthPartners list Lisa Brennom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Brennom was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.