Provider Demographics
NPI:1245846849
Name:BRENKER, SARA (MSW)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:BRENKER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 SE 6TH AVE APT D122
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-8024
Mailing Address - Country:US
Mailing Address - Phone:954-501-8838
Mailing Address - Fax:
Practice Address - Street 1:1001 SE 6TH AVE APT D122
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-8024
Practice Address - Country:US
Practice Address - Phone:954-501-8838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-18
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health