Provider Demographics
NPI:1811263395
Name:HILL, BRENDA DEAN (MSW, P-LCSW)
Entity type:Individual
Prefix:MR
First Name:BRENDA
Middle Name:DEAN
Last Name:HILL
Suffix:
Gender:F
Credentials:MSW, P-LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:849 NC HIGHWAY 45 N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NC
Mailing Address - Zip Code:27962-9640
Mailing Address - Country:US
Mailing Address - Phone:252-809-3631
Mailing Address - Fax:252-793-3117
Practice Address - Street 1:849 NC HIGHWAY 45 N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NC
Practice Address - Zip Code:27962-9640
Practice Address - Country:US
Practice Address - Phone:252-809-3631
Practice Address - Fax:252-793-3117
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical