Individual provider · NPI-1

Maxine S Brenner, RN LMHC

Counselor, Mental Health · Worcester, MA

NPI number1326157181
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1326157181
Entity type
Individual (NPI-1)
Name
Mrs. Maxine S Brenner
Credential
RN LMHC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 29, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health5028MAYes
163WP0809X Registered Nurse, Psych/Mental Health, Adult100314MA

Practice location

72 Jaques Ave
Worcester, MA 01610-2476

Phone 508-421-4377 · Fax 508-421-4387

Mailing address

72 Jaques Ave
Worcester, MA 01610-2476

Phone 508-421-4377 · Fax 508-421-4387

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