Provider Demographics
NPI:1720158231
Name:BENTRIM, BRANDI L (MA LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:L
Last Name:BENTRIM
Suffix:
Gender:F
Credentials:MA LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2109 STURBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-8875
Mailing Address - Country:US
Mailing Address - Phone:215-317-3781
Mailing Address - Fax:
Practice Address - Street 1:2109 STURBRIDGE CT
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-8875
Practice Address - Country:US
Practice Address - Phone:215-317-3781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0153121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical