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Robert C. Pennebaker Pllc
Psychiatric/Mental Health Nurse Practitioner in Fayetteville, North Carolina
NPI 1144657677

Robert C. Pennebaker Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Fayetteville, NC and is specialized in Psychiatric/Mental Health. Robert C. Pennebaker Pllc practices in Fayetteville, NC. The NPI Number for Robert C. Pennebaker Pllc is 1144657677 and holds a License No. C002032 (North Carolina).

The current practice location address for Robert C. Pennebaker Pllc is 2931 Breezewood Ave Ste 104, Fayetteville, NC and can be reached out via phone at 910-491-1134 and via fax at 910-491-1332. You can also correspond with Robert C. Pennebaker Pllc through the mailing address at 5774 WATERS EDGE DR, FAYETTEVILLE, NC - 28314-1055 (mailing address contact number: 910-977-1396).

Location: 2931 Breezewood Ave Ste 104, Fayetteville, NC, 28314-1055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144657677
Provider Name
Robert C. Pennebaker Pllc
Credential
Provider Entity Type
Organization
Address
2931 Breezewood Ave Ste 104, Fayetteville, NC, 28314-1055
Phone Number
910-491-1134
Fax Number
910-491-1332
Provider Enumeration Date
09/30/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2931 Breezewood Ave Ste 104
City
Fayetteville
State
North Carolina
Zip
28303-5281
Phone Number
910-491-1134
Fax Number
910-491-1332
person
Provider Business Mailing Address Details
Address
2931 Breezewood Ave Ste 104
City
Fayetteville
State
North Carolina
Zip
28303-5281
Phone Number
910-491-1134
Fax Number
910-491-1332
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
5005524 (North Carolina)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
C002032 (North Carolina)
Definition
Definition to come...
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