Individual
MS. ELIZABETH SPENCER BRENTJENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
222 VIRGINIA RD # B, EDENTON, NC 27932-9667
(252) 506-1036
(252) 482-5910
Mailing address
218 COUNTRY CLUB DR, EDENTON, NC 27932-8904
(252) 506-1036
(252) 482-5910
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004927
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140E4
BCBSNC
NC
01
—
550068
VALUEOPTIONS
NC
05
—
6003739
—
NC
Enumeration date
01/13/2007
Last updated
07/08/2007
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