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

Mrs. Stacey Ann Berent, PROVISIONALLICSW

Individual provider Clinical Social Worker · NPI 1790620524

Mrs. Stacey Ann Berent, PROVISIONALLICSW is a Clinical Social Worker in Brainerd, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

823 Maple St
Brainerd, MN 56401-3770
Phone: (218) 454-8001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 24833 (MN)

Record details

NPI number1790620524
Entity typeIndividual (Type 1)
GenderFemale
Credentials PROVISIONALLICSW
Sole proprietorNo
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

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