Individual provider · Type 1 NPI

Stacey Ann Berent, PROVISIONAL LICSW

Clinical Social Worker · Brainerd, MN

NPI number 1790620524 Active

Practice location

823 Maple St
Brainerd, MN 56401-3770

Call (218) 454-8001 Map

Mailing address

11857 Maplewood Dr
Brainerd, MN 56401-2388

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X24833 (MN)

Clinical Social Worker: 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 interpers…

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About NPI 1790620524

Stacey Ann Berent, PROVISIONAL LICSW's National Provider Identifier is 1790620524, issued on Apr 20, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brainerd, MN. The record was last updated on Apr 20, 2026.