Roberson, Brenda Gail
Roberson, Brenda Gail is an individual health care provider with primary practice located at 416 N Lafayette St , Shelby NC 28150-4425. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Roberson, Brenda Gail can be contacted via phone (704) 482-7395.Contact Information
Primary practice address
416 N Lafayette St
Shelby NC 28150-4425
Phone: (704) 482-7395
Fax: (704) 482-7396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C001260 | North Carolina |
Profile Details
| NPI number | 1477640027 |
|---|---|
| LBN Legal business name | Roberson, Brenda Gail |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477640027 | NPPES |
| North Carolina | MEDICAID | 6003061 | |
| North Carolina | Other | 54139 | |
| North Carolina | Other | 2864116A |
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