Individual provider Active NPI

Lisa M Berendts, MSW, LICSW

  • Clinical Social Worker
  • Aberdeen, SD
National Provider Identifier
1720301005
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6233 Issued in 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
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LW 00005238 WA
Clinical Social Worker 1041C0700X LW00005238 WA
Clinical Social Worker 1041C0700X 6233 SD Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, SD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150724009786 WA Practitioner - Clinical Social Worker 5698088383 Reassigns benefits to 1 organization
I20230628003244 SD Practitioner - Clinical Social Worker 5698088383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 4981088713, 7 clinicians

Practice addresses (Care Compare)

1409 6TH Ave SE
Suite 5
Aberdeen, SD 57401-4950
Phone (605) 225-3622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW 00005238WAMDSocial Worker
LW00005238WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Plains Psychological Associates, LLC Mental Health CurrentSince Nov 30, 2022 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jul 24, 2015 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jul 24, 2015 Accepting new patients

Locations

1409 6th Ave SE
Ste 5
Aberdeen, SD 57401
Phone (605) 225-3622

405 8th Ave NW
Ste 333
Aberdeen, SD 57401
Phone (605) 225-3622

19379 7th Ave NE
Poulsbo, WA 98370
Phone (360) 394-1000

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

201 16th Ave E
Seattle, WA 98112
Phone (206) 326-4545

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: lberendts7636@ghc.direct-ci.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1720301005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 6TH AVE SE STE 5",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014950",
            "telephone_number": "605-225-3622",
            "fax_number": "605-229-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 6TH AVE SE STE 5",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014950",
            "telephone_number": "605-225-3622",
            "fax_number": "605-229-2719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25357 Deer Meadow Rd",
            "address_purpose": "LOCATION",
            "city": "Custer",
            "state": "SD",
            "postal_code": "577308317",
            "country_code": "US",
            "telephone_number": "206-353-4013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERENDTS",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW 00005238",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005238",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "6233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.