Lisa M Berendts, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Aberdeen, SD
NPI 1720301005 · NPPES record last updated Jun 27, 2025
Key facts
- NPI
- 1720301005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6233 (SD)
- Practice address
- 1409 6TH Ave SE Ste 5
Aberdeen, SD 57401-4950 - Phone
- (605) 225-3622
- Fax
- (605) 229-2719
- NPI assigned
- Mar 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Indiana University School of Medicine, 1996
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Northern Plains Psychological Associates LLC
Practice addresses (Care Compare)
1409 6TH Ave SE
Suite 5
Aberdeen, SD 57401-4950
Phone (605) 225-3622
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150724009786 | WA | Practitioner - Clinical Social Worker | 5698088383 | Reassigns benefits to 1 organization |
| I20230628003244 | SD | Practitioner - Clinical Social Worker | 5698088383 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW 00005238 | WA | MD | Social Worker |
| LW00005238 | WA | MD | Clinical Social Worker |
| 6233 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Plains Psychological Associates, LLC | Mental Health | Current |
Accepting new patients |
| Kaiser Foundation Health Plan of Washington | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients |
Locations
405 8th Ave NW
Ste 333
Aberdeen, SD 57401
Phone (605) 225-3622
1409 6th Ave SE
Ste 5
Aberdeen, SD 57401
Phone (605) 225-3622
19379 7th Ave NE
Poulsbo, WA 98370
Phone (360) 394-1000
201 16th Ave E
Seattle, WA 98112
Phone (206) 326-4545
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- lberendts7636@ghc.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LW 00005238 | WA | |
| Clinical Social Worker | 1041C0700X | LW00005238 | WA | |
| Clinical Social Worker | 1041C0700X | 6233 | SD | Yes |
Addresses
Primary practice location
1409 6TH Ave SE Ste 5
Aberdeen, SD 57401-4950
Mailing address
1409 6TH Ave SE Ste 5
Aberdeen, SD 57401-4950
Phone (605) 225-3622
Other practice location 1
25357 Deer Meadow Rd
Custer, SD 57730-8317
Phone (206) 353-4013
Other providers in Aberdeen, SD
- Rachel Bekkerus
- Mikayla Bellefeuille
- Lea Ann Bender
- Leah Catherine Bennett
- Vicki Bent
- Kimberly J Bergstrom
- Julie Berry
- Scott Harrison Berry
- Bethesda Home of Aberdeen, Inc.
- Bethesda Home of Aberdeen, Inc.
All providers in Aberdeen, SD · Clinical Social Worker in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.