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Robert Pennebaker, PMHNP-BC,LCSW
Psychiatric/Mental Health Nurse Practitioner in Fayetteville, North Carolina
NPI 1609957505

Robert Pennebaker is a Psychiatric/Mental Health Nurse Practitioner based in Fayetteville, NC and is specialized in Psychiatric/Mental Health. Robert Pennebaker practices in Fayetteville, NC and has the professional credentials of PMHNP-BC,LCSW. The NPI Number for Robert Pennebaker is 1609957505 and holds a License No. C002032 (North Carolina).

The current practice location address for Robert Pennebaker is 2931 Breezewood Ave Ste 104, Fayetteville, NC and can be reached out via phone at 910-491-1134 and via fax at 910-491-9781. You can also correspond with Robert Pennebaker through the mailing address at 2931 BREEZEWOOD AVE STE 104, FAYETTEVILLE, NC - 28303-5281 (mailing address contact number: 910-491-1134).

Location: 2931 Breezewood Ave Ste 104, Fayetteville, NC, 28303-5281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609957505
Provider Name
Robert Pennebaker
Credential
PMHNP-BC,LCSW
Provider Entity Type
Individual
Gender
Male
Address
2931 Breezewood Ave Ste 104, Fayetteville, NC, 28303-5281
Phone Number
910-491-1134
Fax Number
910-491-9781
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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
910-491-9781
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
910-491-9781
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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