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MS. LISA RENEE BERMEO LCSW
NPI 1629205349
Social Worker - Clinical in San Rafael, CA

Active since June 20, 2009PECOS EnrolledAccepts Medicare Assignment
99 MONTECILLO RD, SAN RAFAEL, CA 94903(415) 444-4251 Get Directions Write a Review

NPPES record last updated: June 20, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Lisa Renee Bermeo Lcsw NPPES

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

MS. LISA RENEE BERMEO LCSW (NPI 1629205349) is an individual clinical provider in San Rafael, California, licensed in California (25074) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1629205349
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LISA RENEE BERMEOCredential: LCSW
Location Address99 MONTECILLO RDSan Rafael, CA 94903-3308
Mailing Address6 Baker CtPetaluma, CA 94952-5520 · (707) 228-5368 · Fax (707) 773-1766
Phone(415) 444-4251
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 20, 2009
✔ NPI 1629205349 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 CA · 25074
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.
99 MONTECILLO RD, San Rafael, CA 94903
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lisa Renee Bermeo Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446480925
PECOS Enrollment IDI20140228001344
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 94903 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 $69.07 – $202.63
Typical copayment $0.00 (range $17.26 – $50.65)
Most-billed visit code NA
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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.

MS. MARTA JUDY FRIEDMAN LCSW, JD
Social Worker (Clinical)
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 444-4396
DR. DAVID GREGORY MOSKOWITZ M.D.
Dermatology
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 444-2939
MICHELLE S. PARAISO MD
Anesthesiology
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
CHERYL KAHN MD
Radiology (Diagnostic Radiology)
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
PETER REIDY MD
Hospitalist
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 444-4885
MRS. JENNIFER KATE MOORE CCC SLP
Speech-Language Pathologist
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 889-3833
INNA YAKOVLEVNA SHEINSON MD
Internal Medicine
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
JENNIFER ALEXANDRIA CLARK
Nurse Anesthetist, Certified Registered
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Marin County (925) 229-7693

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 Bermeo's NPI number?

The NPI number for Lisa Bermeo is 1629205349. It was assigned to this individual provider in the NPPES registry on June 20, 2009.

Where is Lisa Bermeo located?

Lisa Bermeo practices at 99 Montecillo Rd, San Rafael, CA 94903. The listed phone number is (415) 444-4251.

What is Lisa Bermeo's specialty?

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

Is Lisa Bermeo enrolled in Medicare?

Yes. Lisa Bermeo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Bermeo was last updated on June 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.