LISA G BRESNAHAN LCSW
NPI 1962420018
Social Worker - Clinical in Peoria, IL

Active since July 17, 2006
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-6726(309) 655-4609 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa G Bresnahan Lcsw NPPES

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

LISA G BRESNAHAN LCSW (NPI 1962420018) is an individual clinical provider in Peoria, Illinois and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1962420018
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA G BRESNAHANCredential: LCSW
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 655-2000 · Fax (309) 655-7869
Fax(309) 655-4609
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1962420018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
530 NE GLEN OAK AVE, Peoria, IL 61637

Other Identifiers 3

Medicare ID-Type UnspecifiedK00603
Other206623Medicare Group No.
Medicare UPINS91786

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.

Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637

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 Bresnahan's NPI number?

The NPI number for Lisa Bresnahan is 1962420018. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Lisa Bresnahan located?

Lisa Bresnahan practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-6726.

What is Lisa Bresnahan's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Bresnahan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.