Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa M Brennom, LICSW

Individual provider Clinical Social Worker · NPI 1437179611

Lisa M Brennom, LICSW is a Clinical Social Worker in Minnetonka, Minnesota. Works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

3395 Plymouth Rd
Minnetonka, MN 55305-3765
Phone: (952) 939-0396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 Marquette Ave, Minneapolis, MN 55403-2419 — (952) 939-0396

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 13588 (MS)

Record details

NPI number1437179611
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESMay 3, 2018

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