Terrance Delores Brewer, LMSW
Individual provider Active NPI Social Worker · Texarkana, AR
NPI 1104941319 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104941319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 1875-M (AR)
- Practice address
- 4425 Jefferson Ave Ste 106
Texarkana, AR 71854-1529 - Phone
- (870) 216-1700
- Fax
- (870) 772-5965
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1875-M | AR | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1875-M | AR | Yes |
Addresses
Primary practice location
4425 Jefferson Ave Ste 106
Texarkana, AR 71854-1529
Mailing address
2909 Senator St
Texarkana, AR 71854-2847
Phone (870) 216-1700
Other providers in Texarkana, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.