Shaquila O'Shay Renee Brummitt, MSW, LCSW
Social Worker, Clinical in Concord, NC. Individual provider (NPI-1).
NPI number1164030433
StatusActive
Last updated in NPPESAug 26, 2024
Details
- NPI
- 1164030433
- Entity type
- Individual (NPI-1)
- Name
- Shaquila O'Shay Renee Brummitt
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2020
- Certification date
- Aug 26, 2024
- Last updated
- Aug 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C016077 | NC | Yes |
Practice location
11 Union St S Ste 200Concord, NC 28025-5098
Phone 704-918-9741 · Fax 704-270-6213
Mailing address
11 Union St S Ste 200Concord, NC 28025-5098
Phone 704-918-9741 · Fax 704-270-6213
Other practice locations
175 W Franklin Blvd
Gastonia, NC 28052-4145
Gastonia, NC 28052-4145
Phone 704-865-3525
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