Provider Demographics
NPI:1770673063
Name:GINSBERG, BRENDA RICA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:RICA
Last Name:GINSBERG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 POINTE VIEW CT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9377
Mailing Address - Country:US
Mailing Address - Phone:919-490-2953
Mailing Address - Fax:919-490-2953
Practice Address - Street 1:111 CLOISTER CT
Practice Address - Street 2:SUITE 100
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2295
Practice Address - Country:US
Practice Address - Phone:818-489-2853
Practice Address - Fax:919-490-2953
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0029171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1138XOtherBCBS
NC1138XOtherBCBS