Healthcare Provider Details

I. General information

NPI: 1275491755
Provider Name (Legal Business Name): RENATA YVETTE BREWINGTON LCSW-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 BERKS WAY
RALEIGH NC
27614-6598
US

IV. Provider business mailing address

208 WHITE OAK DR
GREENVILLE NC
27858-4145
US

V. Phone/Fax

Practice location:
  • Phone: 919-900-7438
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP020921
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPO20921
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: