| Doctor Name: | MS. ELIZABETH SPENCER BRENTJENS |
| NPI Number: | 1215088620 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | C004927 |
| Business Practice Address: | 222 Virginia Rd # B Edenton, NC - 279329667 |
| Business Phone Number: | 2525061036 |
| Business Fax Number: | 2524825910 |
| Mailing Address: | 218 Country Club Dr, EDENTON |
| State: | NC |
| Postal Code: | 279328904 |
| Phone Number: | 2525061036 |
| Fax Number: | 2524825910 |
| NPI Enumeration Date: | 01/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | C004927 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |