Provider Demographics
NPI:1053085001
Name:BRITT, DESIRRE KENYETTA (MSW, LSSW, LCSW)
Entity Type:Individual
Prefix:
First Name:DESIRRE
Middle Name:KENYETTA
Last Name:BRITT
Suffix:
Gender:F
Credentials:MSW, LSSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 ROLLING BROOKS DR APT 2
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-4054
Mailing Address - Country:US
Mailing Address - Phone:757-537-7315
Mailing Address - Fax:
Practice Address - Street 1:1240 SE MAYNARD RD STE 203
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6946
Practice Address - Country:US
Practice Address - Phone:919-636-0762
Practice Address - Fax:855-678-6632
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0140111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical