Terry D Brenner in South Bend - Social Worker

Terry D Brenner - NPI 1912036955

Terry D Brenner is a Social Worker in South Bend, Indiana. Terry D Brenner practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Terry D Brenner is 1912036955. The last update date is 2007-07-08.

Terry D Brenner's current location address is 403 E Madison St, South Bend, Indiana. You can contact this provider via phone number 5742831107 and fax number 5742831131. The mailing address for Terry D Brenner is 403 E Madison St, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Terry D Brenner
Address 403 E Madison St, South Bend, Indiana
Phone Number 5742831107
Fax Number 5742831131
Sole Proprietor N
Credentials MSW

NPI Number Detail

NPI Number 1912036955
Provider Enumeration Date 2007-03-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 403 E Madison St
City South Bend
State Indiana (IN)
Post Code 466172322
Phone Number 5742831107
Fax Number 5742831131

Provider's Primary Taxonomy Detail

Speciality Social Worker
Taxonomy 104100000X
Definition:
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an

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FAQs about Terry D Brenner

What is the Terry D Brenner's unique identification number?

The Terry D Brenner has been assigned the NPI (National Provider Identifier) Number 1912036955 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Terry D Brenner?

The Terry D Brenner is physically situated at 403 E Madison St, in the city of South Bend, state of IN, with the postal code 466172322.

What is Terry D Brenner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Terry D Brenner is Social Worker, and the taxonomy code that categorizes this field of expertise is 104100000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1912036955 to Terry D Brenner?

The Centers for Medicare & Medicaid Services originally issued the 1912036955 to Terry D Brenner on 2007-03-05.

As of what date were the details related to Terry D Brenner most recently updated or revised?

The information pertaining to Terry D Brenner, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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