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NPI Code Detail

MEDICARE: RENATA YVETTE BREWINGTON LCSW-A

MEDICARE: RENATA YVETTE BREWINGTON LCSW-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerP020921NC
2101YM0800XMental Health CounselorPO20921NC

General Provider Information

NPI Number : 1275491755
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENATA YVETTE BREWINGTON LCSW-A
Provider Business Mailing Address
First Line : 208 WHITE OAK DR
Second Line :
City : GREENVILLE
State : NC
Zip : 27858-4145
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3050 BERKS WAY
Second Line :
City : RALEIGH
State : NC
Zip : 27614-6598
Country : US
Telephone Number : 919-900-7438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 05/14/2026

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Directions to “ RENATA YVETTE BREWINGTON LCSW-A” Practice Location

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