MEDICARE: DANASIA BREWER

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
1	1041C0700X	Clinical Social Worker	PO23856	NC

General Provider Information

NPI Number	:	1366377152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANASIA BREWER

Provider Business Mailing Address
First Line	:	210 E 5TH ST
Second Line	:
City	:	LUMBERTON
State	:	NC
Zip	:	28358-5576
Country	:	US
Telephone Number	:	910-536-1027
Fax Number	:	704-228-7011

Provider Business Practice Location Address
First Line	:	210 E 5TH ST
Second Line	:
City	:	LUMBERTON
State	:	NC
Zip	:	28358-5576
Country	:	US
Telephone Number	:	910-536-1027
Fax Number	:	704-228-7011

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/22/2026

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Directions to “ DANASIA BREWER ” Practice Location

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