Bargender, Lisa T

Bargender, Lisa T is an individual health care provider with primary practice located at 505 Broadway St , Baraboo WI 53913-2183. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bargender, Lisa T can be contacted via phone (608) 355-4200.

Contact Information

Primary practice address
505 Broadway St Baraboo WI 53913-2183
Phone: (608) 355-4200
Fax: (608) 355-4299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18096 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 130020-121 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8967 Wisconsin

Profile Details

NPI number 1134672975
LBN Legal business name Bargender, Lisa T
Credentials LCSW, CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2016
Last updated Feb 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134672975 NPPES
Wisconsin MEDICAID 100058771

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